Jaren M Thueson, DDS

NPI #1902450430 in Rexburg, Idaho

Provider Information

NPI Number: 1902450430
Entity Type: Individual
Name: Jaren M Thueson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 1, 2019
Last Updated: Aug 1, 2019

Practice Location

Address: 106 E 1ST N
City: Rexburg
State: Idaho
ZIP Code: 83440-1614
Phone: (208) 356-5600

Specialties & Taxonomy Codes

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

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