Organization
IDAHO ORAL & MAXILLOFACIAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY TED HOPKINS D.D.S.,MS (OWNER)
(208) 733-1182
Entity
Organization
Contact information
Practice address
590 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 733-1182
(208) 733-3341
Mailing address
590 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 733-1182
(208) 733-3341
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D3944-OS
ID
Other
Enumeration date
06/13/2007
Last updated
07/25/2014
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