MR. Jeffrey Alan Kollmann, LD

NPI #1316125479 in Nampa, Idaho

Provider Information

NPI Number: 1316125479
Entity Type: Individual
Name: MR. Jeffrey Alan Kollmann, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LD
Enumeration Date: Jan 31, 2008
Last Updated: Jan 31, 2008

Practice Location

Address: 1120 12TH AVENUE SOUTH
Address 2: NAMPA DENTURE CLINIC
City: Nampa
State: Idaho
ZIP Code: 83651
Phone: (208) 467-1107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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