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1104026822
BOISE TOWNE SQUARE DENTAL
BOISE, ID
NPI
1104026822
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Entity Type
Organization
Authorized Contact
WADE PILLING
Owner
208-888-0662
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3877)
Enumeration Date
2007-07-20
Last Update Date
2007-07-20
Business Address
BOISE TOWNE SQUARE DENTAL
7677 W EMERALD ST
BOISE, ID 83704-9018
Phone number: 208-888-0662
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Mailing Address
BOISE TOWNE SQUARE DENTAL
7677 W EMERALD ST
BOISE, ID 83704-9018
Phone number: 208-888-0662
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