Individual
ARPUN KAUR JOHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-6000
Mailing address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5525
ID
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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