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Individual

JOHN T KALANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
136 E MALLARD DR, BOISE, ID 83706-3975
(208) 342-0212
(208) 342-0323
Mailing address
136 E MALLARD DR, BOISE, ID 83706-3975
(208) 342-0212
(208) 342-0323

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D1939
ID

Other

Enumeration date
09/26/2005
Last updated
07/08/2007
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