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Wayne Mortensen, DMD
NPI 1801023478 · on the registry since 2009
Practice
- Address
- 9213 W State St
Boise, ID 83714 - Phone
- (208) 853-3300
- Organisation at this address
- Wayne Mortensen Dmd Pc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 317 W Cherry Ln, Meridian, ID
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-10
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