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Brian Kovanda, DMD
NPI 1437141082 · on the registry since 2005 · sole proprietor
Practice
- Address
- 3200 N Leslie Way Ste 110
Meridian, ID 83646 - Phone
- (208) 322-0024
- Fax
- (208) 375-5721
- Organisation at this address
- Signature Smiles
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-11
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