Individual
MICHAEL JANGULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
672 E WYTHE CREEK CT STE 101, KUNA, ID 83634-5216
(208) 629-2800
Mailing address
218 W TROPHY ST, KUNA, ID 83634-3310
(208) 412-4779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4595
ID
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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