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Organization
CORNERSTONE DENTAL CENTER
Active
Organization
CORNERSTONE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY HANN (DENTIST)
(208) 772-5141
Entity
Organization
Contact information
Practice address
8385 N CORNERSTONE DR, HAYDEN, ID 83835-8684
(208) 772-5141
Mailing address
8385 N CORNERSTONE DR, HAYDEN, ID 83835-8684
(208) 772-5141
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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