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1427619238
BENJAMIN BENNETT WAITES
LEWISTON, ID
NPI
1427619238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 35263)
Enumeration Date
2019-06-23
Last Update Date
2021-09-22
Business Address
Dr. BENJAMIN BENNETT WAITES DMD
937 BRYDEN AVE
LEWISTON, ID 83507
Phone number: 208-746-2668
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Mailing Address
Dr. BENJAMIN BENNETT WAITES DMD
937 BRYDEN AVE
LEWISTON, ID 83507
Phone number: 208-746-2668
Copy
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