TDCJEROME PLLC
Dentist - General Practice
Active
Organization
NPI: 1104229913
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D4052 (ID) |
Frequently Asked Questions
NPI 1104229913 is the National Provider Identifier for TDCJEROME PLLC, a Dentist - General Practice provider located in Jerome, ID. This NPI was enumerated on October 7, 2014.
Quick Facts
- NPI
- 1104229913
- Type
- Organization
- Enumerated
- Oct 7, 2014
- Last Updated
- Oct 7, 2014
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