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Individual

EMILEE EDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
6615 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-9197
Mailing address
132 WAPITI WAY, TROY, MT 59935-9511
(720) 582-8040

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5572
ID
1223G0001X
General Practice Dentistry
DEN.00205273
CO

Other

Enumeration date
07/13/2022
Last updated
05/20/2025
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