Individual
DR. JAMISON ROSS SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8119 USTICK RD, BOISE, ID 83704-5754
(205) 376-3600
(208) 376-3616
Mailing address
8119 USTICK RD, BOISE, ID 83704-5754
(205) 376-3600
(208) 376-3616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3319
ID
Other
Enumeration date
07/19/2006
Last updated
12/27/2012
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