David J Emert
Dental Assistant in Mountain Home Afb, ID. Individual provider (NPI-1).
NPI number1982259875
StatusActive
Last updated in NPPESAug 7, 2019
Details
- NPI
- 1982259875
- Entity type
- Individual (NPI-1)
- Name
- Mr. David J Emert
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2019
- Last updated
- Aug 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | – | – | Yes |
Practice location
90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062
Phone 208-728-7300
Mailing address
90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062
Phone 208-728-7300
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