| Twin Falls Dental Group Pllc | |
|
788 Eastland Dr Ste A Twin Falls ID 83301-6826 | |
| (208) 733-2621 | |
| (208) 733-1086 |
| Full Name | Twin Falls Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 788 Eastland Dr Ste A, Twin Falls, Idaho |
| Authorized Official Name and Position | Christopher Hansen (DENTIST/PARTNER) |
| Authorized Official Contact | 2087332621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Falls Dental Group Pllc 3548 Washington Pkwy Idaho Falls ID 83404-4968 Ph: (208) 524-2300 | Twin Falls Dental Group Pllc 788 Eastland Dr Ste A Twin Falls ID 83301-6826 Ph: (208) 733-2621 |
| NPI Number | 1720520505 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 11/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720520505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4164 (Idaho) | Primary |
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