Individual
MICHAEL CHASE MINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 FILER AVE, TWIN FALLS, ID 83301-4708
(208) 944-9057
(208) 944-9146
Mailing address
105 FILER AVE, TWIN FALLS, ID 83301-4708
(208) 320-3198
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
LD-128
ID
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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