Individual
TERRELL F TINGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
2020 N COLE RD, BOISE, ID 83704
(208) 375-0631
(208) 375-0769
Mailing address
2020 N COLE RD, BOISE, ID 83704
(208) 375-0631
(208) 375-0769
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D1731
ID
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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