person
Mr. Jonathan Ragner Sander, LD
Denturist in Buhl, Idaho
NPI 1558440313

Jonathan Ragner Sander is a Denturist based in Buhl, ID. Jonathan Ragner Sander practices in Buhl, ID and has the professional credentials of LD. The NPI Number for Jonathan Ragner Sander is 1558440313 and holds a License No. LD 36 (Idaho).

The current practice location address for Jonathan Ragner Sander is 124 11Th Avenue North, Buhl, ID and can be reached out via phone at 208-543-2747. You can also correspond with Jonathan Ragner Sander through the mailing address at 124 11TH AVE N, BUHL, ID - 83316-1602 (mailing address contact number: 208-324-2747).

Location: 124 11Th Avenue North, Buhl, ID, 83316-1602
person
Provider Profile Details
NPI Number
1558440313
Provider Name
Jonathan Ragner Sander
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
124 11Th Avenue North, Buhl, ID, 83316-1602
Phone Number
208-543-2747
Fax Number
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
124 11Th Avenue North
City
State
Zip
83316
Phone Number
208-543-2747
Fax Number
person
Provider Business Mailing Address Details
Address
124 11Th Ave N
City
State
Zip
83316-1602
Phone Number
208-324-2747
Fax Number
208-324-2747
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
LD 36 (Idaho)
Definition
Definition to come.
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