Whalio Doctors

NPI 1316125479

Jeffrey Alan Kollmann, LD

Practitioner Denturist Nampa, ID

Practice location

Address
1120 12th Avenue South Nampa Denture Clinic, Nampa, ID 83651
Phone
(208) 467-1107

Registered specialties

Denturist Primary
Dental Providers Taxonomy 122400000X Licence LD23 (ID)

Registry record

NPI
1316125479
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jan 2008
Record last updated
31 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.