Most Relevant Information
Provider Data
| NPI Number: | 1003438581 |
| Provider Name: | BENJAMIN A HULBERT DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | D-5135 |
Most Important Dates
| Enumeration Date: | 05/07/2020 |
| Last Updated: | 05/07/2020 |
Provider Practice Location
9733 W USTICK RD
BOISE
ID
837045202
Practice Location Phone/Fax
| Phone: | 2083758720 |
| Fax: |
Provider Mailing Location
9733 W USTICK RD
BOISE
ID
837045202
Provider Mailing Phone/Fax
| Phone: | 2083758720 |
| Fax: |