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1114957917
NICHOLAS A MASSOTH
CALDWELL, ID
NPI
1114957917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: ID D 3848 OS)
Enumeration Date
2006-07-04
Last Update Date
2007-07-09
Business Address
-- NICHOLAS A MASSOTH D.M.D.
4121 CLOCK TOWER AVE
CALDWELL, ID 83607-5006
Phone number: 208-459-7800
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Mailing Address
-- NICHOLAS A MASSOTH D.M.D.
4121 CLOCK TOWER AVE
CALDWELL, ID 83607-5006
Phone number: 208-459-7800
Copy
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