TRACY DEAN JENKINS

IDAHO FALLS, ID
NPI1659507481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-4216)
Enumeration Date2009-06-08
Last Update Date2023-10-20
Business Address
Dr. TRACY DEAN JENKINS D.D.S.
1400 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-881-9177
Mailing Address
Dr. TRACY DEAN JENKINS D.D.S.
1400 E 17TH ST
IDAHO FALLS, ID 83404-6269
Phone number: 208-881-9177
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