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1073826772
COLTON CHARLES
EAGLE, ID
NPI
1073826772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D4320)
Enumeration Date
2010-07-22
Last Update Date
2020-06-17
Business Address
COLTON CHARLES DMD
450 W STATE ST STE 180
EAGLE, ID 83616-6974
Phone number: 208-939-0600
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Mailing Address
COLTON CHARLES DMD
450 W STATE ST STE 180
EAGLE, ID 83616-6974
Phone number: 208-939-0600
Copy
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