Individual provider · NPI-1

Amanda Jodi Rowe, LD, RDA

Denturist · Boise, ID

NPI number1750944344
StatusActive
Last updated in NPPESApr 18, 2019

Details

NPI
1750944344
Entity type
Individual (NPI-1)
Name
Amanda Jodi Rowe
Credential
LD, RDA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2019
Last updated
Apr 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122400000X Denturist99IDYes

Practice location

10480 W Garverdale Ct Ste 804a
Boise, ID 83704-5477

Phone 208-376-6613

Mailing address

1105 N 5th St
Coeur D Alene, ID 83814-3221

Phone 480-289-0536

Other practice locations

1028 N 4th St
Coeur D Alene, ID 83814-3114

Phone 208-667-9314

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