JAKE GROBERG

POCATELLO, ID
NPI1700728391
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  3581210)
Enumeration Date2026-04-06
Last Update Date2026-06-24
Business Address
JAKE GROBERG
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
Mailing Address
JAKE GROBERG
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
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