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1639181050
MARTY J HANN
HAYDEN, ID
NPI
1639181050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D1777)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
DR. MARTY J HANN DDS
8385 N CORNERSTONE DR
HAYDEN, ID 83835-8684
Phone number: 208-772-5141
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Mailing Address
DR. MARTY J HANN DDS
8385 N CORNERSTONE DR
HAYDEN, ID 83835-8684
Phone number: 208-772-5141
Copy
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