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Jonathan Sander, LD — NPI 1558440313, Buhl, ID | NPI Central

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NPI 1558440313

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Jonathan Sander, LD

NPI 1558440313 · Denturist · Buhl, ID

Provider details

NPI number: 1558440313
Entity type: Individual
Primary specialty: DenturistDental Providers
Credential: LD
Sex: Male
Sole proprietor: Yes
License: LD 36 (ID)

Specialties & taxonomies

DenturistPrimary122400000XLicense LD 36 (ID)
Dental Providers

Practice location

124 11th Avenue North

Denture Center

Buhl, ID 83316

Phone: (208) 543-2747

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

124 11th Ave N

Buhl, ID 83316-1602

Registry dates

Enumerated: 2006-11-03
Last updated: 2024-11-27
Certified: 2024-11-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.