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Individual

GRANT H FRANCIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
943 N LINDER RD, KUNA, ID 83634-3394
(208) 922-1919
(208) 922-3567
Mailing address
943 N LINDER RD, KUNA, ID 83634-3394
(208) 922-1919
(208) 922-3567

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3390
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
559572
UNITED CONCORDIA
ID
01
6C503
BLUE CROSS OF IDAHO
ID
05
805467000
ID
Enumeration date
06/24/2008
Last updated
06/24/2008
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