Individual
DR. JOHN ROBERT COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
607 N MITCHELL ST, BOISE, ID 83704-4863
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3571039
ID
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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