Enduradent Pllc
NPI #1720656598 in Driggs, Idaho
Provider Information
- NPI Number
- 1720656598
- Entity Type
- Organization
- Organization Name
- Enduradent Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 16, 2021
- Last Updated
- Jun 16, 2021
Practice Location
Authorized Official
- Name
- DR. JACOB A TALL, DMD
- Title
- GENERAL DENTIST
- Phone
- (208) 521-7888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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