JERRY WAYNE MITCHELL

KETCHUM, ID
NPI1932289204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00005295)
Enumeration Date2006-10-17
Last Update Date2012-12-13
Business Address
Dr. JERRY WAYNE MITCHELL D.D.S.
620 FIRST AVE N
KETCHUM, ID 83340-0000
Phone number: 208-720-7368
Mailing Address
Dr. JERRY WAYNE MITCHELL D.D.S.
PO BOX 4378 620 FIRST AVE N
KETCHUM, ID 83340-0000
Phone number: 208-720-7368
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