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1093876328
WILLIAM JARED TERRY
POCATELLO, ID
NPI
1093876328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-4033)
Additional Taxonomies
122300000X Dentist
(Licence: TX 26313)
Enumeration Date
2006-12-12
Last Update Date
2016-08-08
Business Address
DR. WILLIAM JARED TERRY DMD
2318 DOUGLAS ST
POCATELLO, ID 83201-1851
Phone number: 415-858-4755
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Mailing Address
DR. WILLIAM JARED TERRY DMD
2318 DOUGLAS ST
POCATELLO, ID 83201-1851
Phone number: 415-858-4755
Copy
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