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Search › Idaho › 122400000X

Fred Giovanini, L.D

NPI 1386875268 · on the registry since 2009

Practice

Address
505 1st Street, Suite A
Idaho Falls, ID 83401
Phone
(208) 525-6002
Fax
(208) 232-2558
Organisation at this address
Broadway Smiles
Denture Clinic Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122400000X
122400000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-07-27

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