Organization
CEJ SUPPLY LLC
Active
Other names
CEJ Supply
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC N DAHLE DMD (MEMBER)
(208) 707-3796
Entity
Organization
Contact information
Practice address
2443 E 1ST ST, FRUITLAND, ID 83619-2641
(208) 707-3796
Mailing address
2443 E 1ST ST, FRUITLAND, ID 83619-2641
(208) 707-3796
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D-2015
ID
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
About Stedi
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