Individual
DR. TYSON R MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2205 CHANNING WAY, SUITE A, IDAHO FALLS, ID 83404-8016
(208) 529-4484
(208) 523-4441
Mailing address
3955 GEORGIA LN, AMMON, ID 83406-7812
(208) 419-9570
(208) 523-4441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4302
ID
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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