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1447636220
IVORY EDGE, P.C.
SANDPOINT, ID
NPI
1447636220
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Entity Type
Organization
Authorized Contact
BENJAMIN D HULL
Owner
208-263-1412
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: ID D-4660)
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
IVORY EDGE, P.C.
1323 HIGHWAY 2 SUITE 301
SANDPOINT, ID 83864-5210
Phone number: 208-263-1412
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Mailing Address
IVORY EDGE, P.C.
1323 HIGHWAY 2 SUITE 301
SANDPOINT, ID 83864-5210
Phone number: 208-263-1412
Copy
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