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Organization
DOCTORS GARRARD AND WAYMENT DENTISTS PLLC
Active
Organization
DOCTORS GARRARD AND WAYMENT DENTISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R GARRARD D.D.S. (PARTNER)
(208) 436-6406
Entity
Organization
Contact information
Practice address
301 SCOTT AVE, STE #3, RUPERT, ID 83350-1800
(208) 436-6406
(208) 436-9678
Mailing address
PO BOX 338, RUPERT, ID 83350-0338
(208) 436-6406
(208) 436-9678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3400
ID
1223G0001X
General Practice Dentistry
D3965
ID
Other
Enumeration date
04/24/2007
Last updated
03/08/2016
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