GENNADY BABICHENKO, LD

LD

Denturist

NPI: 1629115761Individual

Specialties, Licenses & Credentials

DenturistPrimary

Denturist

Code: 122400000X

LD44(ID)

Contact & Hours

Address: 10480 W GARVERDALE CT STE 804B
BOISE, ID 83704
Phone: (208) 376-6613

Quick Facts

NPI: 1629115761
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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