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Search › Idaho › General Practice Dentistry

Jacob Liljenquist, DMD

NPI 1508172107 · on the registry since 2010

Practice

Address
1000 N 8th Ave
Pocatello, ID 83201
Phone
(208) 232-3368
Fax
(208) 776-5016
Organisation at this address
Healthwest
Health West, Inc.
Health West, Inc.
Health West, Inc.
Health West, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Dentist
Dentist
Public Health Dentistry
Licence states on file
UT, WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho