Daniel Reed Bodily II, MDM
Daniel Reed Bodily II, MDM is a Dentist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
1003 N 8th StBoise, ID 83702-4218
Phone: (208) 342-6549
Fax: (208) 336-6760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D3109 (ID) |
|---|
Record details
| NPI number | 1427129782 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDM |
| Sole proprietor | Yes |
| NPI enumerated | November 10, 2006 |
| Last updated in NPPES | July 8, 2007 |
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