DR. Jerry Kevin Cole, DDS

NPI #1407078538 in Boise, Idaho

Provider Information

NPI Number: 1407078538
Entity Type: Individual
Name: DR. Jerry Kevin Cole, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 305 W IDAHO ST
City: Boise
State: Idaho
ZIP Code: 83702
Phone: (208) 343-7271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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