MR. Gennady S Babichenko, LD is a denturist in Boise, ID. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. MR. Gennady S Babichenko, LD NPI is 1629115761. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10480 W GARVERDALE CT STE 804B
BOISE, ID
ZIP 83704-477
Phone: (208) 376-6613
The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/8/2007.