Zirker Family Dentistry
Dentist in Ammon, ID. Organization (NPI-2).
NPI number1790797157
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790797157
- Entity type
- Organization (NPI-2)
- Legal business name
- Zirker Family Dentistry
- Organization subpart
- No
- Enumeration date
- Aug 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
1801 S Ammon RdAmmon, ID 83406-6860
Phone 208-528-7665 · Fax 208-522-9556
Mailing address
1801 S Ammon RdAmmon, ID 83406-6860
Phone 208-528-7665 · Fax 208-522-9556
Authorized official
Jed K Zirker
Dentist
2085287665
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