Individual
DR. WILLIAM JARED TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2318 DOUGLAS ST, POCATELLO, ID 83201-1851
(415) 858-4755
Mailing address
2318 DOUGLAS ST, POCATELLO, ID 83201-1851
(415) 858-4755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
26313
TX
122300000X
Dentist
Primary
D-4033
ID
Other
Enumeration date
12/12/2006
Last updated
08/08/2016
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