Individual
DR. JARED FURGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 W CHERRY LN, SUITE 120, MERIDIAN, ID 83642-1137
(208) 887-9000
(208) 887-9107
Mailing address
2700 W CHERRY LN, SUITE 120, MERIDIAN, ID 83642-1137
(208) 887-9000
(208) 887-9107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3800
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203915255
TID
ID
Enumeration date
08/01/2006
Last updated
07/08/2007
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