JEFFREY T MCMINN

POCATELLO, ID
NPI1942424916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID  D-3774-OR)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- JEFFREY T MCMINN D.M.D.
625 E ALAMEDA RD
POCATELLO, ID 83201-3622
Phone number: 208-237-0005
Mailing Address
-- JEFFREY T MCMINN D.M.D.
625 E ALAMEDA RD
POCATELLO, ID 83201-3622
Phone number: 208-237-0005
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