Search › Idaho › 122400000X
Jonathan Sander, LD
NPI 1558440313 · on the registry since 2006 · sole proprietor
Practice
- Address
- 124 11th Avenue North
Denture Center
Buhl, ID 83316 - Phone
- (208) 543-2747
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122400000X
122400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-27
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