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1346251105
JOHN EARL GOODRICH
MOUNTAIN HOME, ID
NPI
1346251105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D2090)
Enumeration Date
2006-08-10
Last Update Date
2015-12-23
Business Address
Dr. JOHN EARL GOODRICH DDS
450 W 6TH S BOX 660
MOUNTAIN HOME, ID 83647-3483
Phone number: 208-587-3314
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Mailing Address
Dr. JOHN EARL GOODRICH DDS
PO BOX 660
MOUNTAIN HOME, ID 83647-0660
Phone number: 208-587-1111
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