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1013672617
GREEN ACRES DENTAL PLLC
TWIN FALLS, ID
NPI
1013672617
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Entity Type
Organization
Authorized Contact
FAITH GASKINS
Director Of Credential
972-869-3789
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
GREEN ACRES DENTAL PLLC
871 GREEN ACRES DR
TWIN FALLS, ID 83301-3353
Phone number: 208-733-4620
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Mailing Address
GREEN ACRES DENTAL PLLC
871 GREEN ACRES DR
TWIN FALLS, ID 83301-3353
Phone number: 208-733-4620
Copy
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