Jacob Tall
Jacob Tall is a Dentist in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2020
Practice location Address checks out
2460 E 25th StIdaho Falls, ID 83404-7549
Phone: (208) 525-4780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D-5144 (ID) |
|---|
Record details
| NPI number | 1265056121 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2020 |
| Last updated in NPPES | June 5, 2020 |
| Certification date | June 5, 2020 |
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