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Individual

ROBERT HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2300 E 17TH ST, IDAHO FALLS, ID 83404-6504
(208) 525-8383
(208) 523-6419
Mailing address
PO BOX 2046, IDAHO FALLS, ID 83403-2046
(208) 525-8383
(208) 523-6419

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1510
ID

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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