JACOB TALL

IDAHO FALLS, ID
NPI1265056121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-5144)
Enumeration Date2020-06-05
Last Update Date2020-06-05
Business Address
JACOB TALL
2460 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-525-4780
Mailing Address
JACOB TALL
2460 E 25TH ST
IDAHO FALLS, ID 83404-7549
Phone number: 208-525-4780
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