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1508378647
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
IDAHO FALLS, ID
NPI
1508378647
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Entity Type
Organization
Authorized Contact
JAYSON ANDERS BIRD
Owner/President
208-680-5144
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
2960 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-680-5144
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Mailing Address
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
1392 N 800 E
SHELLEY, ID 83274-5013
Phone number:
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