JORDAN BODILY

MERIDIAN, ID
NPI1356864847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-5115)
Enumeration Date2017-07-17
Last Update Date2024-03-12
Business Address
JORDAN BODILY DMD
1558 N CRESTMONT DR
MERIDIAN, ID 83642-2192
Phone number: 208-519-3474
Mailing Address
JORDAN BODILY DMD
1558 N CRESTMONT DR
MERIDIAN, ID 83642-2192
Phone number: 208-519-3474