Jethe Ann Abraham D.D.S.

NPI 1629265442 - Dentist - 122300000X

NPI Details
NPI 1629265442
Gender Female
Enumeration Date 09/25/2007
Last Updated 05/20/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
317 W CHERRY LN
MERIDIAN ID, 83642-1608, US
Phone (208) 489-7077
Fax
Business Location
890 W MELROSE ST
BOISE ID, 83706-4677, US
Phone (612) 310-1997
Fax
Toxanomy
Taxonomy Code 122300000X
License State Idaho
License Number D-4270
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According to our database, Dr. Jethe Ann Abraham D.D.S. NPI is 1629265442, taxonomy code is 122300000X and license number is D-4270, license state is located at Idaho. Jethe Ann Abraham D.D.S. physically located at 317 W Cherry Ln, Meridian ID, 83642-1608. NPI Number Jethe Ann Abraham D.D.S. has the Individual type.

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1629265442 NPI number is provided on an as is basis without warranty of any kind. 1629265442 is maintained by the National Plan & Provider Enumeration System. The contents of Jethe Ann Abraham D.D.S. are for informational purposes only.