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1568772028
IDAHO SMILES ASSOC PLLC
BOISE, ID
NPI
1568772028
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Entity Type
Organization
Authorized Contact
JEFFREY TULLER
Owner
208-343-7271
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D 2065)
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
IDAHO SMILES ASSOC PLLC
305 W IDAHO ST
BOISE, ID 83702-6040
Phone number: 208-343-7271
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Mailing Address
IDAHO SMILES ASSOC PLLC
305 W IDAHO ST
BOISE, ID 83702-6040
Phone number: 208-343-7271
Copy
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