Dr. BRENT CHARLES GOLDTHORPE D.M.D.
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1992960116- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 120 DESERT SAGE WAY, MOUNTAIN HOME, ID, 836471038
- Phone
- (208) 696-7203
- Fax
- (208) 587-3324
Specialties & Taxonomies
Dentist, General Practice
License: MT #2358
Dentist, General Practice
Primary License: ID #D4080