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Loren Short, D.M.D
NPI 1053597245 · on the registry since 2008
Practice
- Address
- 4203 Clock Tower Ave.
Caldwell, ID 83607 - Phone
- (208) 454-4112
- Fax
- (208) 454-5155
- Organisation at this address
- Clock Tower Orthodontics, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho