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1700455870
CASEY DALE SANDERS
MERIDIAN, ID
NPI
1700455870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D5304)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
Dr. CASEY DALE SANDERS DMD
2275 S EAGLE RD STE 150
MERIDIAN, ID 83642-5075
Phone number: 208-888-2000
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Mailing Address
Dr. CASEY DALE SANDERS DMD
1871 SPANISH FORK WAY APT F308
MERIDIAN, ID 83642-5627
Phone number: 702-539-7353
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