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1417158791
JOSEPH MATTHEW ELISON
IDAHO FALLS, ID
NPI
1417158791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID D3706 OR)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Dr. JOSEPH MATTHEW ELISON DDSMS
3357 MERLIN DR
IDAHO FALLS, ID 83404-7405
Phone number: 208-522-9600
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Mailing Address
Dr. JOSEPH MATTHEW ELISON DDSMS
3357 MERLIN DR
IDAHO FALLS, ID 83404-7405
Phone number: 208-522-9600
Copy
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