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1275736522
IDAHO PROSTHODONTICS
SANDPOINT, ID
NPI
1275736522
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Entity Type
Organization
Authorized Contact
DARREL L MOONEY
Owner
208-336-9333
Organization Subpart ?
No
Primary Taxonomy
1223P0700X Dentist Prosthodontics
(Licence: ID D1650)
Enumeration Date
2007-06-06
Last Update Date
2020-08-22
Business Address
IDAHO PROSTHODONTICS
347 CROOKED EAR CT
SANDPOINT, ID 83864-9477
Phone number: 208-336-9333
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Mailing Address
IDAHO PROSTHODONTICS
301 S DIVISION AVE
SANDPOINT, ID 83864-2737
Phone number: 208-263-6393
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