SearchIdaho122300000X

Carson Dial, DMD

NPI 1497105944 · on the registry since 2016 · sole proprietor

Practice

Address
10661 W State St
Star, ID 83669
Phone
(208) 286-9890

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-04

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