Individual
DR. JASON ARTHUR MAUSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1246 YELLOWSTONE AVE, STE B1, POCATELLO, ID 83201-4374
(208) 237-2462
(208) 237-5297
Mailing address
1246 YELLOWSTONE AVE, STE B1, POCATELLO, ID 83201-4374
(208) 237-2462
(208) 237-5297
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1132
AK
1223G0001X
General Practice Dentistry
Primary
D-3953
ID
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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