Individual
DR. JESSE SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1860
Mailing address
611 S 8TH ST UNIT 101, BOISE, ID 83702-7177
(845) 598-1993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4944
ID
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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