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1316050628
JERRY MICHAEL CARBONE
BOISE, ID
NPI
1316050628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: ID D-3642EN)
Enumeration Date
2006-08-17
Last Update Date
2014-10-01
Business Address
Dr. JERRY MICHAEL CARBONE D.M.D.
12249 W MCMILLAN RD
BOISE, ID 83713-0555
Phone number: 208-917-2855
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Mailing Address
Dr. JERRY MICHAEL CARBONE D.M.D.
12249 W MCMILLAN RD
BOISE, ID 83713-0555
Phone number: 208-917-2855
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