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1962888305
CHRISTIAN BENNION
BOISE, ID
NPI
1962888305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D4982)
Enumeration Date
2015-08-08
Last Update Date
2023-07-13
Business Address
CHRISTIAN BENNION DMD
5213 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-345-2325
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Mailing Address
CHRISTIAN BENNION DMD
5213 W OVERLAND RD
BOISE, ID 83705-2637
Phone number: 208-345-2325
Copy
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