Bluth, Larue Antoine

Bluth, Larue Antoine is an individual health care provider with primary practice located at 5244 N Eagle Rd , Boise ID 83713-0945. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bluth, Larue Antoine can be contacted via phone (208) 890-4980.

Contact Information

Primary practice address
5244 N Eagle Rd Boise ID 83713-0945
Phone: (208) 890-4980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 46364 California
Dental Providers / Endodontics 1223E0200X D4267 Idaho

Profile Details

NPI number 1396961157
LBN Legal business name Bluth, Larue Antoine
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Nov 9th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers