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1972762342
EAGLE RIVER DENTISTRY
EAGLE, ID
NPI
1972762342
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Entity Type
Organization
Authorized Contact
BROOKS JOSEPH UNIAT
Owner
208-938-0280
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
(Licence: ID D-3666)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
EAGLE RIVER DENTISTRY
325 E SHORE DR SUITE 100
EAGLE, ID 83616-6583
Phone number: 208-938-0280
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Mailing Address
EAGLE RIVER DENTISTRY
325 E SHORE DR SUITE 100
EAGLE, ID 83616-6583
Phone number: 208-938-0280
Copy
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