JACOB TALL

Dentist

NPI: 1265056121Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

D-5144(ID)

Contact & Hours

Address: 2460 E 25TH ST
IDAHO FALLS, ID 83404
Phone: (208) 525-4780

Quick Facts

NPI: 1265056121
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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