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1033280136
RYAN T KIDMAN
IDAHO FALLS, ID
NPI
1033280136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D4006)
Enumeration Date
2006-11-11
Last Update Date
2023-06-07
Business Address
DR. RYAN T KIDMAN DDS
139 ALTURAS ST
IDAHO FALLS, ID 83401-4309
Phone number: 208-523-5090
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Mailing Address
DR. RYAN T KIDMAN DDS
139 ALTURAS ST
IDAHO FALLS, ID 83401-4309
Phone number: 208-523-5090
Copy
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