DR. JACOB LILJENQUIST, DMD
Dentist - General Practice
Active
Individual
NPI: 1508172107
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 7754866-9921 (UT) |
| Dentist | 122300000X | No | DE60162914 (WA) |
| Dentist - Dental Public Health | 1223D0001X | No | D4811 (ID) |
Frequently Asked Questions
NPI 1508172107 is the National Provider Identifier for DR. JACOB LILJENQUIST, DMD, a Dentist - General Practice provider located in Pocatello, ID. This NPI was enumerated on August 20, 2010.
DR. JACOB LILJENQUIST, DMD practices at 1000 N 8TH AVE, Pocatello, ID 83201.
Quick Facts
- NPI
- 1508172107
- Type
- Individual
- Enumerated
- Aug 20, 2010
- Last Updated
- May 17, 2019
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