Individual
DR. JARED SEXAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
455 N 3RD E, MOUNTAIN HOME, ID 83647-2738
(208) 587-2625
Mailing address
685 N 4TH E, MOUNTAIN HOME, ID 83647-2134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4840
ID
Other
Enumeration date
06/05/2017
Last updated
04/03/2020
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