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1184217168
INTERMOUNTAIN DENTAL, PC
PRIEST RIVER, ID
NPI
1184217168
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Entity Type
Organization
Authorized Contact
MARK EDWARD DUKE
President
208-448-1241
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2021-02-19
Last Update Date
2021-02-19
Business Address
INTERMOUNTAIN DENTAL, PC
103 MAIN ST
PRIEST RIVER, ID 83856-8385
Phone number: 208-448-1241
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Mailing Address
INTERMOUNTAIN DENTAL, PC
519 JENNY LN
SANDPOINT, ID 83864-6006
Phone number: 208-448-1241
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