Mr Tristan Taylor, DDS | |
7726 Lupine Ln, Victor, ID 83455-5116 | |
(208) 787-8100 | |
(208) 787-8101 |
Full Name | Mr Tristan Taylor |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 7726 Lupine Ln, Victor, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770870784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6301 (Oklahoma) | Secondary |
122300000X | Dentist | D-4518 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Tristan Taylor, DDS 7726 Lupine Ln, Victor, ID 83455-5116 Ph: (208) 787-8100 | Mr Tristan Taylor, DDS 7726 Lupine Ln, Victor, ID 83455-5116 Ph: (208) 787-8100 |
Dr. Nathan Richard George, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 7726 Lupine Lane, Victor, ID 83455 Phone: 208-787-8100 | |
Elmer Raymond Cherry Iv, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 7389 S. Hwy. 33 Suite A, Victor, ID 83455 Phone: 208-787-2323 |