| Jack D.klure, Dds Pllc | |
|
110 E Ustick Rd Meridian ID 83646-5502 | |
| (208) 888-9399 | |
| (208) 888-6115 |
| Full Name | Jack D.klure, Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 110 E Ustick Rd, Meridian, Idaho |
| Authorized Official Name and Position | Jack D Klure (OWNER) |
| Authorized Official Contact | 2088889399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack D.klure, Dds Pllc 110 E Ustick Rd Meridian ID 83646-5502 Ph: (208) 888-9399 | Jack D.klure, Dds Pllc 110 E Ustick Rd Meridian ID 83646-5502 Ph: (208) 888-9399 |
| NPI Number | 1447419866 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447419866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3151 (Idaho) | Primary |
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