Jeffrey Alan Kollmann LD

NPI 1316125479 - Denturist - 122400000X

NPI Details
NPI 1316125479
Gender Male
Enumeration Date 01/31/2008
Last Updated 01/31/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1120 12TH AVENUE SOUTH
NAMPA DENTURE CLINIC
NAMPA ID, 83651, US
Phone (208) 467-1107
Fax
Business Location
1120 12TH AVENUE SOUTH
NAMPA DENTURE CLINIC
NAMPA ID, 83651, US
Phone (208) 467-1107
Fax
Toxanomy
Taxonomy Code 122400000X
License State Idaho
License Number LD23
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According to our database, Mr. Jeffrey Alan Kollmann LD NPI is 1316125479, taxonomy code is 122400000X and license number is LD23, license state is located at Idaho. Jeffrey Alan Kollmann LD physically located at 1120 12th Avenue South, Nampa ID, 83651. NPI Number Jeffrey Alan Kollmann LD has the Individual type.

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1316125479 NPI number is provided on an as is basis without warranty of any kind. 1316125479 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Alan Kollmann LD are for informational purposes only.