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1851005904
ROOTS DENTAL PLLC
MERIDIAN, ID
NPI
1851005904
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Entity Type
Organization
Authorized Contact
WILLIAM FREI
Owner/Partner
208-821-2206
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
ROOTS DENTAL PLLC
6291 N FOX RUN WAY STE 120
MERIDIAN, ID 83646-6791
Phone number: 208-821-2206
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Mailing Address
ROOTS DENTAL PLLC
5436 N EXETER WAY
MERIDIAN, ID 83646-4691
Phone number: 208-821-2206
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