RUSSELL POWELL

CALDWELL, ID
NPI1154773869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-4762)
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
Dr. RUSSELL POWELL DDS
329 E LOGAN ST
CALDWELL, ID 83605-4863
Phone number: 208-459-3388
Mailing Address
Dr. RUSSELL POWELL DDS
1807 S CRIMSON ROSE AVE
BOISE, ID 83709-8228
Phone number: 208-440-0885
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