Individual
RONALD JOHN HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
556 TREJO ST, SUITE C, REXBURG, ID 83440-2625
(208) 359-2224
(208) 359-2250
Mailing address
556 TREJO ST, SUITE C, REXBURG, ID 83440-2625
(208) 359-2224
(208) 359-2250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1800
ID
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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