SearchIdahoGeneral Practice Dentistry

Bryan Medaris, D.D.S

NPI 1174673222 · on the registry since 2007

Practice

Address
4411 E Flamingo Ave
Nampa, ID 83687
Phone
(208) 466-3597
Fax
(208) 466-8147
Clinicians at this address
5

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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