Individual
DR. JEREMIAH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9931 W CABLE CAR STE 150, BOISE, ID 83709-1269
(208) 369-2255
(208) 369-2256
Mailing address
9931 W CABLE CAR STE 150, BOISE, ID 83709-1269
(208) 369-2255
(208) 369-2256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4747
ID
Other
Enumeration date
07/10/2015
Last updated
07/18/2023
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