Organization
WARD ORTHODONTICS
Active
Organization
WARD ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WARD DDS MSD (OWNER/DOCTOR)
(208) 734-4314
Entity
Organization
Contact information
Practice address
857 POLK ST, TWIN FALLS, ID 83301-3985
(208) 734-4314
Mailing address
857 POLK ST, TWIN FALLS, ID 83301-3985
(208) 734-4314
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-1385-OR
ID
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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