Most Relevant Information
Provider Data
| NPI Number: | 1003594565 |
| Provider Name: | HANNA CASTLEBERRY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | D-5547 |
Most Important Dates
| Enumeration Date: | 07/06/2023 |
| Last Updated: | 07/06/2023 |
Provider Practice Location
1175 E PARKCENTER BLVD
BOISE
ID
837066751
Practice Location Phone/Fax
| Phone: | 2088885544 |
| Fax: |
Provider Mailing Location
1175 E PARKCENTER BLVD STE 101
BOISE
ID
837066752
Provider Mailing Phone/Fax
| Phone: | 2088885544 |
| Fax: |