DR. Jerad L West, D.D.S.

NPI #1013115344 in Truckee, California

Provider Information

NPI Number: 1013115344
Entity Type: Individual
Name: DR. Jerad L West, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.D.S.
Enumeration Date: Jul 9, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 10021 MARTIS VALLEY RD
Address 2: SUITE B
City: Truckee
State: California
ZIP Code: 96161-2125
Phone: (530) 587-5582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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