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1477683019
KORTH B ELLIOTT
BOISE, ID
NPI
1477683019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D1996)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Dr. KORTH B ELLIOTT DDS
8219 NORTHVIEW ST
BOISE, ID 83704
Phone number: 208-378-9280
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Mailing Address
Dr. KORTH B ELLIOTT DDS
3700 N PLAZA RD
EMMETT, ID 83617
Phone number: 208-365-2660
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