Jason Allred, DMD Valid NPI

Individual provider · General Practice Dentistry · Post Falls, ID

NPI

1033590534

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D5206 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-06-11

Last updated

2023-07-11