IndividualActive
Charles Westerberg, LD LICENSED DENTURIS
NPI 1659760684 · Denturist · Boise, ID
Provider details
- NPI number
- 1659760684
- Entity type
- Individual
- Primary specialty
- DenturistDental Providers
- Credential
- LD LICENSED DENTURIS
- Sex
- Male
- Sole proprietor
- No
- License
- LD-46 (ID)
Specialties & taxonomies
Dental Providers
Practice location
6710 W. Overland Rd.
Boise, ID 83709
Phone: (208) 323-7790
Approximate (ZIP-level) locationGet directions
Mailing address
6710 W Overland Rd.
Boise, ID 83709
Registry dates
- Enumerated
- 2015-01-14
- Last updated
- 2015-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.