Whalio Doctors

NPI 1023189131

Marivin Oto, DDS

Practitioner General Practice Dentistry Meridian, ID

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
Dental Providers Taxonomy 1223G0001X Licence D3750 (ID)

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.