Organization
JKB ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDON JAMES SWENSON DDS MS (MANAGER)
(801) 380-1986
Entity
Organization
Contact information
Practice address
621 N MIDLAND BLVD, NAMPA, ID 83651-6525
(208) 649-5721
Mailing address
621 N MIDLAND BLVD, NAMPA, ID 83651-6525
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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