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Individual

DR. JARED MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1501 NE 10TH AVE, PAYETTE, ID 83661-5422
(208) 642-9379
Mailing address
1501 NE 10TH AVE, PAYETTE, ID 83661-5422

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5087
ID

Other

Enumeration date
10/05/2019
Last updated
10/05/2019
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