G. VAN STOSICH

IDAHO FALLS, ID
NPI1336224633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-1730)
Enumeration Date2006-10-26
Last Update Date2023-03-07
Business Address
-- G. VAN STOSICH D.D.S.
1400 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-522-8061
Mailing Address
-- G. VAN STOSICH D.D.S.
1400 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-522-8061
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