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1801437447
MOUNTAIN HOME DENTAL PC
MOUNTAIN HOME, ID
NPI
1801437447
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Entity Type
Organization
Authorized Contact
JARED SEXAUER
Dentist
208-599-3189
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-10-04
Last Update Date
2020-01-21
Business Address
MOUNTAIN HOME DENTAL PC
455 N 3RD E
MOUNTAIN HOME, ID 83647
Phone number: 208-587-2625
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Mailing Address
MOUNTAIN HOME DENTAL PC
685 N 4TH E
MOUNTAIN HOME, ID 83647-2134
Phone number: 208-599-3189
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