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Jerry Mitchell, D.D.S
NPI 1932289204 · on the registry since 2006 · sole proprietor
Practice
- Address
- 620 First Ave N
Ketchum, ID 83340 - Phone
- (208) 720-7368
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-13
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