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Organization
BUHL FAMILY DENTAL
Active
Organization
BUHL FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN NAVARRO DMD (DENTIST)
(208) 543-6511
Entity
Organization
Contact information
Practice address
529 BROADWAY AVE S, BUHL, ID 83316-1312
(208) 543-6511
(208) 543-2960
Mailing address
529 BROADWAY AVE S, BUHL, ID 83316-1312
(208) 543-6511
(208) 543-2960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4355
ID
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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