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Individual

DR. JED KARL ZIRKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1801 S AMMON RD, AMMON, ID 83406-6860
(208) 528-7665
(208) 522-9556
Mailing address
1801 S AMMON RD, AMMON, ID 83406-6860
(208) 528-7665
(208) 522-9556

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3708
ID

Other

Enumeration date
12/28/2006
Last updated
07/09/2007
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