CHARLES SCOTT GRACE

BOISE, ID
NPI1992917207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D3522)
Enumeration Date2007-05-07
Last Update Date2010-08-02
Business Address
-- CHARLES SCOTT GRACE D.D.S
850 S LATAH ST
BOISE, ID 83705-2255
Phone number: 208-342-7714
Mailing Address
-- CHARLES SCOTT GRACE D.D.S
850 S LATAH ST
BOISE, ID 83705-2255
Phone number: 208-342-7714
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