NPI 1023189131
Marivin Oto, DDS
Practice location
- Address
- 317 W Cherry Ln, Meridian, ID 83642-1608
- Phone
- (208) 888-2055
- Fax
- (208) 895-0583
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1023189131
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Nov 2006
- Record last updated
- 9 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.