JOHN MEMMOTT

IDAHO FALLS, ID
NPI1801944913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: ID  D-1870-PD)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
-- JOHN MEMMOTT DDS
2300 E 17TH ST
IDAHO FALLS, ID 83404-6504
Phone number: 208-525-8383
Mailing Address
-- JOHN MEMMOTT DDS
PO BOX 2046
IDAHO FALLS, ID 83403-2046
Phone number: 208-525-8383
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