Whalio Doctors

NPI 1053534305

Amelia J Justin, DMD

Practitioner General Practice Dentistry Nampa, ID

Practice location

Address
607 2nd St S, Nampa, ID 83651-3837
Phone
(208) 466-2456
Fax
(208) 318-0227

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence D3732 (ID)

Registry record

NPI
1053534305
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Apr 2007
Record last updated
8 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.