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Michael Jangula
NPI 1821407552 · on the registry since 2014 · sole proprietor
Practice
- Address
- 672 E Wythe Creek Ct Ste 101
Kuna, ID 83634 - Phone
- (208) 629-2800
- Organisation at this address
- Avalon Dental Pc
Brigham Murray Anesthesia LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-06
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