NPI | 1235588781 |
---|---|
Doing Business As | JAEGER ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | THOMAS L JAEGER Owner 208-667-3341 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ID N-01968) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-06-15 |