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1720128432
CLOCK TOWER DENTAL PA
CALDWELL, ID
NPI
1720128432
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Entity Type
Organization
Authorized Contact
DARIN R MOOSO
Dentist
208-455-9498
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D3237)
Enumeration Date
2007-02-08
Last Update Date
2020-08-22
Business Address
CLOCK TOWER DENTAL PA
4105 CLOCK TOWER AVE
CALDWELL, ID 83607-5006
Phone number: 208-455-9498
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Mailing Address
CLOCK TOWER DENTAL PA
4105 CLOCK TOWER AVE
CALDWELL, ID 83607-5006
Phone number: 208-455-9498
Copy
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