Individual
DR. TIMOTHY EDWARD THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
241 4TH AVE N, TWIN FALLS, ID 83301-6139
(208) 733-2471
Mailing address
241 4TH AVE N, TWIN FALLS, ID 83301-6139
(208) 733-2471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1871
ID
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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