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Individual

DR. BEN R DANSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
130 N 1ST W, RIGBY, ID 83442-1377
(208) 745-6591
Mailing address
130 NORTH 1ST WEST, RIGBY, ID 83442
(208) 745-6591

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4055
ID

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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