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1023225638
DENTAL DEPOT
MOSCOW, ID
NPI
1023225638
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Entity Type
Organization
Authorized Contact
JESSE COLE
Partner
208-882-2531
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3990)
Enumeration Date
2007-05-16
Last Update Date
2020-08-22
Business Address
DENTAL DEPOT
803 S JEFFERSON ST SUITE 2
MOSCOW, ID 83843-3096
Phone number: 208-882-2531
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Mailing Address
DENTAL DEPOT
803 S JEFFERSON ST SUITE 2
MOSCOW, ID 83843-3096
Phone number: 208-882-2531
Copy
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