BRENT WILLIAM CLINE

POCATELLO, ID
NPI1487148979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D4930)
Enumeration Date2018-06-18
Last Update Date2018-06-18
Business Address
BRENT WILLIAM CLINE
675 YELLOWSTONE AVE
POCATELLO, ID 83201-4511
Phone number: 208-478-5700
Mailing Address
BRENT WILLIAM CLINE
467 PHEASANT RIDGE DR APT B
POCATELLO, ID 83202-1755
Phone number: 208-201-5780
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