Organization
J ALAN TIMMONS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J ALAN TIMMONS DDS (OWNER)
(208) 452-6280
Entity
Organization
Contact information
Practice address
105 N WHITLEY DR, FRUITLAND, ID 83619-2430
(208) 452-6280
Mailing address
105 N WHITLEY DR, FRUITLAND, ID 83619-2430
(208) 452-6280
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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