Individual provider · NPI-1
Dr. Jennifer Lindzi Aaberg, DDS
Dentist, General Practice · Idaho Falls, ID
NPI number1508427642
StatusActive
Last updated in NPPESJun 27, 2019
Details
- NPI
- 1508427642
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Lindzi Aaberg
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2019
- Last updated
- Jun 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D-5060 | ID | Yes |
Practice location
2818 S 25th EIdaho Falls, ID 83404-6509
Phone 208-243-8391
Mailing address
1508 Dodson Dr Apt AIdaho Falls, ID 83402-4825
Phone 970-640-8197
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