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1346300456
RICHARD LEE GEORGE
MOSCOW, ID
NPI
1346300456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D1590)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
RICHARD LEE GEORGE DDS
1046 WALLEN RD
MOSCOW, ID 83843-8458
Phone number: 208-882-4990
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Mailing Address
RICHARD LEE GEORGE DDS
1046 WALLEN RD
MOSCOW, ID 83843-8458
Phone number: 208-882-4990
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