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1790387959
HATHAWAY AND PELLETIER FAMILY DENTAL PLLC
EAGLE, ID
NPI
1790387959
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Entity Type
Organization
Authorized Contact
BENJAMIN E TUINEI
Credentialing Manager
602-750-6897
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
HATHAWAY AND PELLETIER FAMILY DENTAL PLLC
1217 E IRON EAGLE DR
EAGLE, ID 83616-6599
Phone number: 208-377-1161
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Mailing Address
HATHAWAY AND PELLETIER FAMILY DENTAL PLLC
1217 E IRON EAGLE DR
EAGLE, ID 83616-6599
Phone number: 208-377-1161
Copy
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