DR. Jerry Wayne Mitchell, D.D.S.
NPI #1932289204 in Ketchum, Idaho
Provider Information
- NPI Number
- 1932289204
- Entity Type
- Individual
- Name
- DR. Jerry Wayne Mitchell, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Dec 13, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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