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1063894145
TODD SQUIRES
NAMPA, ID
NPI
1063894145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-4658)
Enumeration Date
2015-06-24
Last Update Date
2020-05-18
Business Address
TODD SQUIRES DDS
2811 12TH AVE RD
NAMPA, ID 83686-8482
Phone number: 208-466-2458
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Mailing Address
TODD SQUIRES DDS
15410 BARRETT VIEW CIR
CALDWELL, ID 83607-9668
Phone number: 801-682-3097
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