JERRY MICHAEL CARBONE

BOISE, ID
NPI1316050628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: ID  D-3642EN)
Enumeration Date2006-08-17
Last Update Date2014-10-01
Business Address
Dr. JERRY MICHAEL CARBONE D.M.D.
12249 W MCMILLAN RD
BOISE, ID 83713-0555
Phone number: 208-917-2855
Mailing Address
Dr. JERRY MICHAEL CARBONE D.M.D.
12249 W MCMILLAN RD
BOISE, ID 83713-0555
Phone number: 208-917-2855