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1538796818
ANDREW PHILLIPS
BOISE, ID
NPI
1538796818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 11509755-9922)
Enumeration Date
2020-03-25
Last Update Date
2023-10-24
Business Address
ANDREW PHILLIPS
3003 S TRAILWOOD WAY
BOISE, ID 83716-5800
Phone number: 770-856-1357
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Mailing Address
ANDREW PHILLIPS
3003 S TRAILWOOD WAY
BOISE, ID 83716-5800
Phone number: 770-856-1357
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