Jerome Toothtown Pllc
NPI #1568100857 in Jerome, Idaho
Provider Information
- NPI Number
- 1568100857
- Entity Type
- Organization
- Organization Name
- Jerome Toothtown Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 25, 2022
- Last Updated
- May 25, 2022
Practice Location
Authorized Official
- Name
- JESSE IVIE
- Title
- MANAGER
- Phone
- (208) 539-9876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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