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1427012046
RODMAN OWEN EMORY
BOISE, ID
NPI
1427012046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: ID D1703)
Enumeration Date
2006-04-12
Last Update Date
2012-10-09
Business Address
Dr. RODMAN OWEN EMORY D.D.S.
13014 W PERSIMMON LN
BOISE, ID 83713-1986
Phone number: 208-377-2072
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Mailing Address
Dr. RODMAN OWEN EMORY D.D.S.
13014 W PERSIMMON LN
BOISE, ID 83713-1986
Phone number: 208-377-2072
Copy
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