Individual
DR. JAROM L JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 12TH AVE RD, SUITE 103, NAMPA, ID 83686-7711
(208) 467-9690
(208) 466-0412
Mailing address
1601 12TH AVE RD, SUITE 103, NAMPA, ID 83686-7711
(208) 467-9690
(208) 466-0412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4060
ID
Other
Enumeration date
08/01/2007
Last updated
09/06/2007
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