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1417090051
MELISSA A DIXON
IDAHO FALLS, ID
NPI
1417090051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-2055)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Dr. MELISSA A DIXON D.D.S.
205 ELM ST
IDAHO FALLS, ID 83402-4054
Phone number: 208-524-2771
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Mailing Address
Dr. MELISSA A DIXON D.D.S.
205 ELM ST
IDAHO FALLS, ID 83402-4054
Phone number: 208-524-2771
Copy
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