Individual
DR. TAYLOR J JARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
72 S 1ST E, REXBURG, ID 83440-1902
(208) 356-4900
(208) 359-1600
Mailing address
PO BOX 18, SAINT ANTHONY, ID 83445-0018
(208) 356-4900
(208) 624-4112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4224
ID
Other
Enumeration date
06/19/2009
Last updated
10/08/2020
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