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Individual

DR. PAUL PREECE ROMRIELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
142 RIVER VISTA PL, TWIN FALLS, ID 83301-3056
(208) 734-7246
(208) 734-7484
Mailing address
142 RIVER VISTA PL, TWIN FALLS, ID 83301-3056
(208) 734-7246
(208) 734-7484

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12011341A
IN
122300000X
Dentist
D-4353
ID
1223P0700X
Prosthodontics
Primary
D-4353-PR
ID

Other

Enumeration date
07/30/2009
Last updated
05/25/2017
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