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Individual

DR. JOHN C PULSIPHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2344 N MERRIT CREEK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
Mailing address
2344 N MERRIT CREEK LOOP, COEUR D ALENE, ID 83814-4950

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4150
ID

Other

Enumeration date
01/19/2011
Last updated
01/19/2011
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