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1295741957
MERIDIAN DENTAL, PLLC
MERIDIAN, ID
NPI
1295741957
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Entity Type
Organization
Authorized Contact
ALLYSON KOUSKY
Insurance Manager
208-888-4711
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-08-01
Last Update Date
2020-08-22
Business Address
MERIDIAN DENTAL, PLLC
780 W CHERRY LN
MERIDIAN, ID 83642-1617
Phone number: 208-888-4711
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Mailing Address
MERIDIAN DENTAL, PLLC
780 W CHERRY LN
MERIDIAN, ID 83642-1617
Phone number: 208-888-4711
Copy
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