MARIVIN OTO

MERIDIAN, ID
NPI1023189131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3750)
Enumeration Date2006-11-11
Last Update Date2007-07-09
Business Address
Dr. MARIVIN OTO DDS
317 W CHERRY LN
MERIDIAN, ID 83642-1608
Phone number: 208-888-2055
Mailing Address
Dr. MARIVIN OTO DDS
317 W CHERRY LN
MERIDIAN, ID 83642-1608
Phone number: 208-888-2055
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