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1275640443
LORIN E DIXON
IDAHO FALLS, ID
NPI
1275640443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D1975)
Enumeration Date
2006-08-24
Last Update Date
2007-12-20
Business Address
Dr. LORIN E DIXON DMD
205 ELM ST STE A
IDAHO FALLS, ID 83402-4054
Phone number: 208-524-2771
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Mailing Address
Dr. LORIN E DIXON DMD
205 ELM ST STE A
IDAHO FALLS, ID 83402-4054
Phone number: 208-524-2771
Copy
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