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1215628268
CLEARWATER DENTAL PLLC
NAMPA, ID
NPI
1215628268
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Entity Type
Organization
Authorized Contact
SEAN WASDEN
COO
208-965-9415
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
CLEARWATER DENTAL PLLC
3161 E GREENHURST RD
NAMPA, ID 83686-8655
Phone number: 208-466-9915
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Mailing Address
CLEARWATER DENTAL PLLC
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 208-965-9415
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