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1053597245
LOREN E. SHORT
CALDWELL, ID
NPI
1053597245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: ID D-4121-OR)
Enumeration Date
2008-01-17
Last Update Date
2008-01-17
Business Address
DR. LOREN E. SHORT D.M.D.
4203 CLOCK TOWER AVE.
CALDWELL, ID 83607-5006
Phone number: 208-454-4112
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Mailing Address
DR. LOREN E. SHORT D.M.D.
4203 CLOCK TOWER AVE.
CALDWELL, ID 83607-5006
Phone number: 208-454-4112
Copy
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