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Organization
ENDURADENT PLLC
Active
Organization
ENDURADENT PLLC
Active
Other names
Ski Hill Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB A TALL DMD (GENERAL DENTIST)
(208) 521-7888
Entity
Organization
Contact information
Practice address
33 EAST HARPER AVE, DRIGGS, ID 83422
(208) 521-7888
Mailing address
1805 EAGLES HOMESTEAD DR, AMMON, ID 83406-4757
(208) 521-7888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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