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1750949848
STEVEN TRAYCE ELLIOTT
MOUNTAIN HOME, ID
NPI
1750949848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-5040)
Enumeration Date
2019-06-03
Last Update Date
2020-02-19
Business Address
STEVEN TRAYCE ELLIOTT D.D.S.
2280 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-3142
Phone number: 208-587-3988
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Mailing Address
STEVEN TRAYCE ELLIOTT D.D.S.
2280 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-3142
Phone number: 208-696-7203
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