MR. Jonathan Ragnar Sander, LD

NPI #1558440313 in Buhl, Idaho

Provider Information

NPI Number: 1558440313
Entity Type: Individual
Name: MR. Jonathan Ragnar Sander, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LD
Enumeration Date: Nov 3, 2006
Last Updated: Nov 27, 2024

Practice Location

Address: 124 11TH AVENUE NORTH
Address 2: DENTURE CENTER
City: Buhl
State: Idaho
ZIP Code: 83316
Phone: (208) 543-2747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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