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Andrew Dale Baird, DDS, PLLC Valid NPI

Individual provider · General Practice Dentistry · Eagle, ID

NPI
1760595144
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
D-3883 (ID)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-08-17
Last updated
2007-07-08
Practice location
483 S Rivershore Ln Ste 102
Eagle, ID 83616-4978
(208) 938-2100

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