Individual
JAKE D GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1848 MILLENNIUM WAY, MERIDIAN, ID 83642
(208) 888-2026
(208) 888-2094
Mailing address
1848 MILLENIUM WAY, MERIDIAN, ID 83642
(208) 888-2026
(208) 888-2094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4133
ID
Other
Enumeration date
05/29/2008
Last updated
09/13/2018
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