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Individual

DR. THOMAS L JAEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1717 LINCOLN WAY STE 203, COEUR D ALENE, ID 83814-2556
(208) 667-3341
(208) 664-8973
Mailing address
1717 LINCOLN WAY STE 203, COEUR D ALENE, ID 83814-2556
(208) 667-3341
(208) 664-8973

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
66D1852
ID

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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