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Individual

DR. JONATHAN W PLUID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
4274 N EAGLE RD, BOISE, ID 83713-0726
(208) 938-8228
Mailing address
682 W LAUGHTON DR, MERIDIAN, ID 83646-6224
(208) 771-0495

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4675
ID

Other

Enumeration date
06/23/2015
Last updated
06/23/2015
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