| Tdc Gooding Pllc | |
|
325 Main Street Gooding ID 83330 | |
| (208) 934-8080 | |
| Not Available |
| Full Name | Tdc Gooding Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 325 Main Street, Gooding, Idaho |
| Authorized Official Name and Position | Don S Wyatt (DDS/OWNER) |
| Authorized Official Contact | 2083248861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Gooding Pllc 325 Main Street Gooding ID 83330 Ph: (208) 934-8080 | Tdc Gooding Pllc 325 Main Street Gooding ID 83330 Ph: (208) 934-8080 |
| NPI Number | 1982173746 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 11/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982173746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gooding Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Gooding, ID 83330 Phone: 208-934-8080 Fax: 208-934-9756 | |
Gooding Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Gooding, ID 83330 Phone: 208-934-8080 Fax: 208-934-9756 |