| Twin Falls Dental Pllc | |
|
788 Eastland Dr Suite A Twin Falls ID 83301-6856 | |
| (208) 733-2621 | |
| (208) 733-1086 |
| Full Name | Twin Falls Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 788 Eastland Dr, Twin Falls, Idaho |
| Authorized Official Name and Position | Christopher Tiu (DENTIST) |
| Authorized Official Contact | 2087332621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Falls Dental Pllc Po Box 5559 Twin Falls ID 83303-5559 Ph: (208) 733-2621 | Twin Falls Dental Pllc 788 Eastland Dr Suite A Twin Falls ID 83301-6856 Ph: (208) 733-2621 |
| NPI Number | 1851697114 |
|---|---|
| Provider Enumeration Date | 02/04/2011 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851697114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D4257 (Idaho) | Primary |
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