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1932360674
SNAKE RIVER DENTAL INC.
PAYETTE, ID
NPI
1932360674
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Entity Type
Organization
Authorized Contact
JAMES H. MOORE
President/Dentist
208-642-4782
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D3950)
Enumeration Date
2008-06-24
Last Update Date
2008-06-24
Business Address
SNAKE RIVER DENTAL INC.
925 2ND AVE N
PAYETTE, ID 83661-2511
Phone number: 208-642-4782
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Mailing Address
SNAKE RIVER DENTAL INC.
925 2ND AVE N
PAYETTE, ID 83661-2511
Phone number: 208-642-4782
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