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1407029101
SHANE LEE SCHVANEVELDT
TWIN FALLS, ID
NPI
1407029101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: ID D-3515-OR)
Enumeration Date
2008-04-02
Last Update Date
2024-08-26
Business Address
SHANE LEE SCHVANEVELDT D.D.S., M.CL.D.
2085 DAWSON DR
TWIN FALLS, ID 83301-3195
Phone number: 208-734-4600
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Mailing Address
SHANE LEE SCHVANEVELDT D.D.S., M.CL.D.
2085 DAWSON DR
TWIN FALLS, ID 83301-3195
Phone number: 208-734-4600
Copy
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