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1972627933
LOUIS C WADE
CALDWELL, ID
NPI
1972627933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D-4024)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Dr. LOUIS C WADE D.D.S.
103 E ASH ST
CALDWELL, ID 83605-5202
Phone number: 208-454-8676
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Mailing Address
Dr. LOUIS C WADE D.D.S.
103 E ASH ST
CALDWELL, ID 83605-5202
Phone number: 208-454-8676
Copy
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