Individual
BRYANT ADAMS TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 N WHITLEY DR, FRUITLAND, ID 83619-2430
(208) 452-6280
(208) 452-4029
Mailing address
105 N WHITLEY DR, FRUITLAND, ID 83619-2430
(208) 452-6280
(208) 452-4029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5176
ID
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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