BLACK CANYON DENTAL P C

EMMETT, ID
NPI1679732804
Entity TypeOrganization
Authorized ContactSHON D ROOKS
President
208-365-3860
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2008-06-03
Last Update Date2008-06-05
Business Address
BLACK CANYON DENTAL P C
1110 S WASHINGTON AVE
EMMETT, ID 83617-3535
Phone number: 208-365-3860
Mailing Address
BLACK CANYON DENTAL P C
1110 S WASHINGTON AVE
EMMETT, ID 83617-3535
Phone number: 208-365-3860
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