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1144640509
COEUR D ALENE FAMILY DENTISRTY
COEUR D ALENE, ID
NPI
1144640509
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Entity Type
Organization
Authorized Contact
TYLER SCOFIELD MORTON
Consultant
208-626-2625
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D4087)
Enumeration Date
2014-04-23
Last Update Date
2014-04-23
Business Address
COEUR D ALENE FAMILY DENTISRTY
2201 N GOVERNMENT WAY SUITE G
COEUR D ALENE, ID 83814-3658
Phone number: 208-664-9129
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Mailing Address
COEUR D ALENE FAMILY DENTISRTY
2201 N GOVERNMENT WAY SUITE G
COEUR D ALENE, ID 83814-3658
Phone number: 208-664-9129
Copy
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