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1144997149
EPP IDAHO PLLC
BOISE, ID
NPI
1144997149
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Entity Type
Organization
Authorized Contact
VICKI GORLITZ
Insurance Manager
248-505-9977
Organization Subpart ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
EPP IDAHO PLLC
403 S 11TH ST STE 230
BOISE, ID 83702-6968
Phone number: 208-386-3636
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Mailing Address
EPP IDAHO PLLC
5115 MARYLAND WAY STE 115
BRENTWOOD, TN 37027-7512
Phone number:
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