Individual
JESSICA FAYE HORRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6615 COMMANCHE, BONNERS FERRY, ID 83805
(208) 263-1718
(208) 263-7739
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
(208) 263-3410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4396
ID
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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