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DANIEL STACKOWICZ, DDS

DDS

General Practice Dentistry

NPI: 1740605104Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Dentist — General Practice

Code: 1223G0001X

D5162(ID)

Contact & Hours

Via practice · 2 locations total

Address
1410 S ENTERTAINMENT AVE
BOISE, ID 83709

Quick Facts

NPI
1740605104
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
2

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