Organization
REED K JARVIS DDS PA
Active
Other names
Jarvis Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REED K JARVIS DDS (OWNER)
(208) 322-8200
Entity
Organization
Contact information
Practice address
9460 FRANKLIN RD, BOISE, ID 83709
(208) 322-8200
(208) 322-7561
Mailing address
9460 W FRANKLIN RD, BOISE, ID 83709-0500
(208) 322-8200
(208) 322-7561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1526
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002420900
—
ID
Enumeration date
09/01/2006
Last updated
06/18/2008
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