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STONE RIDGE DENTAL P.C.

Preferred Provider Organization

NPI: 1609113455Organization

Specialties, Licenses & Credentials

Preferred Provider Organization

Code: 305R00000X

D-4169(ID)
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Contact & Hours

Address
380 W JUDICIAL ST
BLACKFOOT, ID 83221

Quick Facts

NPI
1609113455
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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