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1316739451
BOSTON WEBB
NORTH LOGAN, UT
NPI
1316739451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 14224390-9923)
Enumeration Date
2025-05-22
Last Update Date
2025-05-22
Business Address
BOSTON WEBB DMD
1515 N 400 E STE 104
NORTH LOGAN, UT 84341-7595
Phone number: 208-232-7862
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Mailing Address
BOSTON WEBB DMD
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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