| Tristan Galloway Dds Pllc | |
|
820 17th Ave S Nampa ID 83651-4740 | |
| (208) 466-4261 | |
| (208) 466-6288 |
| Full Name | Tristan Galloway Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 820 17th Ave S, Nampa, Idaho |
| Authorized Official Name and Position | Tristan Sumner Galloway (OOWNER/OPERATOR) |
| Authorized Official Contact | 2084664261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Galloway Dds Pllc 820 17th Ave S Nampa ID 83651-4740 Ph: (208) 466-4261 | Tristan Galloway Dds Pllc 820 17th Ave S Nampa ID 83651-4740 Ph: (208) 466-4261 |
| NPI Number | 1942600390 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 09/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942600390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4321 (Idaho) | Primary |
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