DR. Jessica Beth Hetcko, DDS

NPI #1356507925 in Pocatello, Idaho

Provider Information

NPI Number: 1356507925
Entity Type: Individual
Name: DR. Jessica Beth Hetcko, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 4, 2008
Last Updated: Aug 4, 2008

Practice Location

Address: 465 MEMORIAL DR.
Address 2: POCATELLO FAMILY DENTISTRY ISU
City: Pocatello
State: Idaho
ZIP Code: 83209-8088
Phone: (208) 282-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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