Individual provider · Type 1 NPI

Charles Rollin Westerberg, LD LICENSED DENTURIS

Denturist · Boise, ID

NPI number 1659760684 Active

Practice location

6710 W. Overland Rd.
Boise, ID 83709

Mailing address

6710 W Overland Rd.
Boise, ID 83709

Specialties and licenses

TaxonomyCodeLicense
Denturist Primary 122400000XLD-46 (ID)

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

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About NPI 1659760684

Charles Rollin Westerberg, LD LICENSED DENTURIS's National Provider Identifier is 1659760684, issued on Jan 14, 2015. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Boise, ID. The record was last updated on Jan 14, 2015.