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1992838627
BARRY WAYNE JARDINE
MERIDIAN, ID
NPI
1992838627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-3807)
Enumeration Date
2007-03-13
Last Update Date
2016-08-31
Business Address
Dr. BARRY WAYNE JARDINE D.M.D
1910 S. MERIDAN RD. SUITE 150
MERIDIAN, ID 83642-4842
Phone number: 208-888-3540
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Mailing Address
Dr. BARRY WAYNE JARDINE D.M.D
1910 S MERIDIAN RD STE 150
MERIDIAN, ID 83642-9061
Phone number: 208-888-3540
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