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1992480404
FAIRVIEW DENTAL PLLC
CALDWELL, ID
NPI
1992480404
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Entity Type
Organization
Authorized Contact
SEAN WASDEN
COO
208-965-9415
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
FAIRVIEW DENTAL PLLC
329 E LOGAN ST
CALDWELL, ID 83605-4863
Phone number: 208-459-3388
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Mailing Address
FAIRVIEW DENTAL PLLC
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 208-965-9415
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