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1346895232
TEJASI AVASARE
BOISE, ID
NPI
1346895232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D-5072)
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
TEJASI AVASARE DMD
8321 W OVERLAND RD
BOISE, ID 83709-1640
Phone number: 208-605-3638
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Mailing Address
TEJASI AVASARE DMD
2495 E RED CEDAR LN APT 303
BOISE, ID 83716-9208
Phone number: 319-471-5693
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