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1053321885
RIVERSIDE DENTAL PC
BLACKFOOT, ID
NPI
1053321885
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Entity Type
Organization
Authorized Contact
BRADFORD WILLIAM HARPER
Owner/President
208-785-0878
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID d3225)
Enumeration Date
2006-08-08
Last Update Date
2008-07-30
Business Address
RIVERSIDE DENTAL PC
1120 PARKWAY DR
BLACKFOOT, ID 83221
Phone number: 208-785-0878
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Mailing Address
RIVERSIDE DENTAL PC
1120 PARKWAY DR
BLACKFOOT, ID 83221
Phone number: 208-785-0878
Copy
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