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1437807575
GRANT SAMUEL KIDO
NAMPA, ID
NPI
1437807575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5407)
Enumeration Date
2022-03-17
Last Update Date
2022-06-15
Business Address
Dr. GRANT SAMUEL KIDO DDS
341 W IOWA AVE
NAMPA, ID 83686-2856
Phone number: 208-467-7401
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Mailing Address
Dr. GRANT SAMUEL KIDO DDS
1003 W LOCUST LN
NAMPA, ID 83686-8446
Phone number: 208-880-9149
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