Individual
MYRON D. GUYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S. PC
Contact information
Practice address
452 CHENEY DR W STE 150, TWIN FALLS, ID 83301-4087
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
144800
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-2045-OR
ID
Other
Enumeration date
09/26/2006
Last updated
11/20/2019
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