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1780604702
RUFUS VAN DYKE
POCATELLO, ID
NPI
1780604702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID D-3206-OR)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Dr. RUFUS VAN DYKE DDS, MCl.D
1501 BENCH RD
POCATELLO, ID 83201-2443
Phone number: 208-237-3330
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Mailing Address
Dr. RUFUS VAN DYKE DDS, MCl.D
1501 BENCH ROAD
POCATELLO, ID 83201-2443
Phone number: 208-237-3330
Copy
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