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Individual

DR. ROGER DOUGLAS MCELMURRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
304 S MAIN ST, BELLEVUE, ID 83313
(208) 788-2006
Mailing address
304 S MAIN STREET, BELLEVUE, ID 83313
(208) 788-2006
(208) 788-6298

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1717
ID

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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