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1386850600
BRUCE T. GREENWOOD
MOUNTAIN HOME, ID
NPI
1386850600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3306)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. BRUCE T. GREENWOOD D.M.D
125 S. 10TH E.
MOUNTAIN HOME, ID 83647-3120
Phone number: 208-587-4326
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Mailing Address
Dr. BRUCE T. GREENWOOD D.M.D
125 SOUTH 10TH EAST
MOUNTAIN HOME, ID 83647-3120
Phone number: 208-587-4326
Copy
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