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1659809200
KIMBALL GRAY MACK
BOISE, ID
NPI
1659809200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3935)
Enumeration Date
2017-05-26
Last Update Date
2024-08-12
Business Address
Dr. KIMBALL GRAY MACK DMD
4255 N EAGLE RD STE 102
BOISE, ID 83713-0701
Phone number: 208-344-6300
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Mailing Address
Dr. KIMBALL GRAY MACK DMD
4255 N EAGLE RD STE 102
BOISE, ID 83713-0701
Phone number: 208-344-6300
Copy
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