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1699725465
BRYCE A. BURTENSHAW
IDAHO FALLS, ID
NPI
1699725465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3614)
Enumeration Date
2006-05-11
Last Update Date
2015-05-14
Business Address
Dr. BRYCE A. BURTENSHAW DDS
200 N WOODRUFF AVE
IDAHO FALLS, ID 83401-4334
Phone number: 208-529-0120
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Mailing Address
Dr. BRYCE A. BURTENSHAW DDS
200 N WOODRUFF AVE
IDAHO FALLS, ID 83401-4334
Phone number: 208-529-0120
Copy
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