Organization
MIKE B DINGMAN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE B DINGMAN DDS (PRESIDENT)
(208) 733-6074
Entity
Organization
Contact information
Practice address
1186 EASTLAND DR N STE A, TWIN FALLS, ID 83301-8973
(208) 733-6074
Mailing address
1186 EASTLAND DR N STE A, TWIN FALLS, ID 83301-8973
(208) 733-6074
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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