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1346689866
BOISE TOWNE SQUARE DENTAL
BOISE, ID
NPI
1346689866
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Entity Type
Organization
Authorized Contact
RYAN LEE OLSON
Dr./Owner
208-639-4390
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D4485)
Enumeration Date
2013-06-18
Last Update Date
2013-06-18
Business Address
BOISE TOWNE SQUARE DENTAL
7677 W. EMERALD
BOISE, ID 83704
Phone number: 208-639-4390
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Mailing Address
BOISE TOWNE SQUARE DENTAL
7677 W. EMERALD
BOISE, ID 83704
Phone number: 208-639-4390
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