Individual
DR. THOMAS RICHARD HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
35 S STATE ST, PRESTON, ID 83263-1239
(208) 852-0194
(208) 852-3817
Mailing address
35 S STATE ST, PRESTON, ID 83263-1239
(208) 852-0194
(208) 852-3817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1973
ID
Other
Enumeration date
02/12/2006
Last updated
08/05/2011
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