Organization
BRIAN TINGEY DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J TINGEY DDS (DENTIST)
(208) 734-4111
Entity
Organization
Contact information
Practice address
568 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 734-4111
Mailing address
568 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 734-4111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4037
ID
Other
Enumeration date
01/23/2007
Last updated
08/11/2015
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