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Organization
DILLE DENTAL, PLLC
Active
Organization
DILLE DENTAL, PLLC
Active
Parent organization
DILLE DENTAL, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DILLE DENTAL, PLLC
Authorized official
BRYAN J DILLE DDS (OWNER/DENTIST)
(208) 549-1732
Entity
Organization
Contact information
Practice address
90 S SUPERIOR STREET, CAMBRIDGE, ID 83610
(208) 257-4522
(208) 257-4523
Mailing address
PO BOX 369, CAMBRIDGE, ID 83610-0369
(208) 257-4522
(208) 257-4523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4240
ID
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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