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Nicholas Gensburger, LD — NPI 1669179495, Caldwell, ID | NPI Central

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NPI 1669179495

IndividualActive

Nicholas Gensburger, LD

NPI 1669179495 · Denturist · Caldwell, ID

Provider details

NPI number: 1669179495
Entity type: Individual
Primary specialty: DenturistDental Providers
Credential: LD
Sex: Male
Sole proprietor: No
License: LD-136 (ID)

Specialties & taxonomies

DenturistPrimary122400000XLicense LD-136 (ID)
Dental Providers

Practice location

2124 Blaine St

Caldwell, ID 83605-4426

Phone: (208) 454-0311

Approximate (ZIP-level) locationGet directions

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Mailing address

2124 Blaine St

Caldwell, ID 83605-4426

Registry dates

Enumerated: 2023-02-13
Last updated: 2023-02-13
Certified: 2023-02-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.