CHARLES TANNER HIGHAM

REXBURG, ID
NPI1255997888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-5023)
Enumeration Date2019-05-20
Last Update Date2019-05-20
Business Address
CHARLES TANNER HIGHAM DMD
242 E MAIN ST
REXBURG, ID 83440-2022
Phone number: 208-206-5566
Mailing Address
CHARLES TANNER HIGHAM DMD
242 E MAIN ST
REXBURG, ID 83440-2022
Phone number:
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