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General NPI Number Information
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NPI Number | 1861502213
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Entity Type | Organization
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Legal Business Name | GRANT FRANCIS DDS PC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 943 N LINDER AVE STE 101
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City | KUNA
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State | ID
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Zip | 83634-3395
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Country | US
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Telephone | 208-922-1919
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Fax | 208-922-3567
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Provider Business Mailing Address
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Address Line | 943 N LINDER AVE STE 101
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City | KUNA
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State | ID
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Zip | 83634-3395
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Country | US
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Telephone | 208-922-1919
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Fax | 208-922-3567
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. GRANT H FRANCIS
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Credential | DDS
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Telephone | 208-922-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D3390
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License Number State | ID
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