Individual
DR. JORDAN KENT PILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7677 W EMERALD ST, BOISE, ID 83704-9018
(208) 639-4390
Mailing address
7677 W EMERALD ST, BOISE, ID 83704-9018
(208) 639-4390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4225
ID
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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