BENJAMIN BENNETT WAITES

LEWISTON, ID
NPI1427619238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  35263)
Enumeration Date2019-06-23
Last Update Date2021-09-22
Business Address
Dr. BENJAMIN BENNETT WAITES DMD
937 BRYDEN AVE
LEWISTON, ID 83507
Phone number: 208-746-2668
Mailing Address
Dr. BENJAMIN BENNETT WAITES DMD
937 BRYDEN AVE
LEWISTON, ID 83507
Phone number: 208-746-2668
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