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IDAHO INNOVATIVE DENTISTRY, PLLC

Dental Clinic/Center

NPI: 1649620139Organization

Specialties, Licenses & Credentials

Clinic/Center — Dental

Code: 261QD0000X

D-4002(ID)

Contact & Hours

Address
467 S RIVERSHORE LN
EAGLE, ID 83616

Quick Facts

NPI
1649620139
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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