ANTHONY EWELL-KOLLMANN

MOUNTAIN HOME AFB, ID
NPI1952885121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  34647)
Enumeration Date2018-09-24
Last Update Date2022-09-26
Business Address
ANTHONY EWELL-KOLLMANN DMD
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-7355
Mailing Address
ANTHONY EWELL-KOLLMANN DMD
7015 IMLAY LOOP
MOUNTAIN HOME AFB, ID 83648-4801
Phone number:
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