JACOB TALL
Dentist
Active
Individual
NPI: 1265056121
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D-5144 (ID) |
Frequently Asked Questions
NPI 1265056121 is the National Provider Identifier for JACOB TALL, a Dentist provider located in Idaho Falls, ID. This NPI was enumerated on June 5, 2020.
JACOB TALL practices at 2460 E 25TH ST, Idaho Falls, ID 83404.
Quick Facts
- NPI
- 1265056121
- Type
- Individual
- Enumerated
- Jun 5, 2020
- Last Updated
- Jun 5, 2020
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