NPI 1962956904
Shannon Michelle Stetz, RDH
Practice location
- Address
- 500 W Fort St, Boise, ID 83702-4501
- Phone
- (208) 422-1000
- Mailing address
- 10530 W Stardust Dr, Boise, ID 83709-0367
Registered specialties (2)
Dental Hygienist
Primary
Dental Hygienist
Registry record
- NPI
- 1962956904
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Aug 2016
- Record last updated
- 10 Jun 2022
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.