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1174673222
BRYAN REED MEDARIS
NAMPA, ID
NPI
1174673222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-3814)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Dr. BRYAN REED MEDARIS D.D.S.
4411 E FLAMINGO AVE
NAMPA, ID 83687-3113
Phone number: 208-466-3597
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Mailing Address
Dr. BRYAN REED MEDARIS D.D.S.
12231 W CARIBEE INLET DR
STAR, ID 83669-5653
Phone number: 208-286-0470
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