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1770165854
TWO RIVERS FAMILY DENTISTRY
LEWISTON, ID
NPI
1770165854
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Entity Type
Organization
Authorized Contact
BENJAMIN WAITES
Dentist
208-746-2668
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2021-04-27
Last Update Date
2021-04-27
Business Address
TWO RIVERS FAMILY DENTISTRY
937 BRYDEN AVE
LEWISTON, ID 83501
Phone number: 208-746-2668
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Mailing Address
TWO RIVERS FAMILY DENTISTRY
937 BRYDEN AVE
LEWISTON, ID 83501
Phone number: 208-746-2668
Copy
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