Jodie D Callison, DMD

NPI #1508480575 in Marsing, Idaho

Provider Information

NPI Number: 1508480575
Entity Type: Individual
Name: Jodie D Callison, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 4, 2020
Last Updated: Jun 4, 2020

Practice Location

Address: 201 MAIN
City: Marsing
State: Idaho
ZIP Code: 83639
Phone: (208) 896-4159

Specialties & Taxonomy Codes

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

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