JAY CLAYTON HANSEN

MOSCOW, ID
NPI1609129519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D3853)
Enumeration Date2012-10-17
Last Update Date2012-10-17
Business Address
-- JAY CLAYTON HANSEN DDS
1526 S LEVICK ST
MOSCOW, ID 83843-2560
Phone number: 208-882-4923
Mailing Address
-- JAY CLAYTON HANSEN DDS
1526 S LEVICK ST
MOSCOW, ID 83843-2560
Phone number: 208-882-4923
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