DR. Barry Wayne Jardine, D.M.D

NPI #1992838627 in Meridian, Idaho

Provider Information

NPI Number
1992838627
Entity Type
Individual
Name
DR. Barry Wayne Jardine, D.M.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D
Enumeration Date
Mar 13, 2007
Last Updated
Aug 31, 2016

Practice Location

Address
1910 S. MERIDAN RD.
Address 2
SUITE 150
State
Idaho
ZIP Code
83642-4842
Phone
(208) 888-3540

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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