MRS. Jill Shelton Wagers, DMD

NPI #1215030184 in Boise, Idaho

Provider Information

NPI Number: 1215030184
Entity Type: Individual
Name: MRS. Jill Shelton Wagers, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7235 EMERALD ST
Address 2: SUITE B
City: Boise
State: Idaho
ZIP Code: 83704-8600
Phone: (208) 376-7740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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