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Dewayne Briscoe, DDS MD
NPI 1003242769 · on the registry since 2013 · sole proprietor
Practice
- Address
- 404 Fairway Loop
Sun Valley, ID 83353 - Phone
- (208) 720-9546
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho