Individual
DR. JACOB REED JARIVS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
6000 S QUAMASH WAY, BOISE, ID 83716-5617
(208) 383-0100
(208) 321-5507
Mailing address
6000 S QUAMASH WAY, BOISE, ID 83716-5617
(208) 383-0100
(208) 321-5507
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D3999-OR
ID
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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