JARED C JOHNSON

BURLEY, ID
NPI1710011754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-2079)
Enumeration Date2007-03-14
Last Update Date2007-07-09
Business Address
-- JARED C JOHNSON D.D.S.
1706 OVERLAND AVE
BURLEY, ID 83318-2436
Phone number: 208-678-2332
Mailing Address
-- JARED C JOHNSON D.D.S.
1706 OVERLAND AVE
BURLEY, ID 83318-2436
Phone number: 208-678-2332
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