NPI 1386875268

Fred Elmer Giovanini, LD

Practitioner Denturist Idaho Falls, ID

Practice location

Address: 505 1st Street, Suite a, Idaho Falls, ID 83401
Phone: (208) 525-6002
Fax: (208) 232-2558
Mailing address: 505 1st St Suite a, Idaho Falls, ID 83401-3929

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence LD35 (ID)

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Registry record

NPI: 1386875268
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2009
Record last updated: 27 Jul 2009

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.