RUSSELL C POOL

NAMPA, ID
NPI1831203306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-1687)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- RUSSELL C POOL DMD
109 12TH AVE RD
NAMPA, ID 83686-5047
Phone number: 208-467-2545
Mailing Address
-- RUSSELL C POOL DMD
109 12TH AVE RD
NAMPA, ID 83686-5047
Phone number: 208-467-2545
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