Individual
STEPHEN FREDERICK DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1218 FILER AVE E, TWIN FALLS, ID 83301-4117
(208) 733-4515
(208) 733-2757
Mailing address
1218 FILER AVE E, TWIN FALLS, ID 83301-4117
(208) 733-4515
(208) 733-2757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4137
ID
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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