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1114685245
SPROUT PEDIATRIC DENTISTRY,PLLC
BOISE, ID
NPI
1114685245
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Entity Type
Organization
Authorized Contact
RACHEL MITCHELL
Business Manager
208-467-5100
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
Enumeration Date
2021-12-06
Last Update Date
2021-12-06
Business Address
SPROUT PEDIATRIC DENTISTRY,PLLC
7800 W USTICK RD
BOISE, ID 83704-5848
Phone number: 208-576-6791
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Mailing Address
SPROUT PEDIATRIC DENTISTRY,PLLC
7800 W USTICK RD
BOISE, ID 83704-5848
Phone number: 208-576-6791
Copy
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