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1124193123
JOEL EDWARD COURTIAL
EAGLE, ID
NPI
1124193123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D1743)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Dr. JOEL EDWARD COURTIAL DDS
151 STIERMAN WAY
EAGLE, ID 83616-5163
Phone number: 208-939-4111
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Mailing Address
Dr. JOEL EDWARD COURTIAL DDS
151 STIERMAN WAY
EAGLE, ID 83616-5163
Phone number: 208-939-4111
Copy
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