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1992226641
ANDREW R STUCKI
POCATELLO, ID
NPI
1992226641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-4842)
Enumeration Date
2017-07-03
Last Update Date
2022-07-21
Business Address
Dr. ANDREW R STUCKI DMD
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
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Mailing Address
Dr. ANDREW R STUCKI DMD
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
Copy
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