ROBERT GLENN MCMINN

POCATELLO, ID
NPI1457570921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID  D-1435-OR)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
Dr. ROBERT GLENN MCMINN DDS MSD
1133 CALL CREEK DR.
POCATELLO, ID 83201
Phone number: 208-232-0464
Mailing Address
Dr. ROBERT GLENN MCMINN DDS MSD
2061 SUNRISE WAY
POCATELLO, ID 83201-1985
Phone number: 208-237-0129
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