Organization
JACK D.KLURE, DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK D KLURE D.D.S. (OWNER)
(208) 888-9399
Entity
Organization
Contact information
Practice address
110 E USTICK RD, MERIDIAN, ID 83646-5502
(208) 888-9399
(208) 888-6115
Mailing address
110 E USTICK RD, MERIDIAN, ID 83646-5502
(208) 888-9399
(208) 888-6115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3151
ID
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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