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1386739720
JOHN T MOONEY
POCATELLO, ID
NPI
1386739720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-1486)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. JOHN T MOONEY DMD
333 WEST CEDAR
POCATELLO, ID 83201-0000
Phone number: 208-233-6912
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Mailing Address
Dr. JOHN T MOONEY DMD
2645 SUMMERS WAY
POCATELLO, ID 83204-0000
Phone number: 208-233-8015
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