Individual
TRENT PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1411 FALLS AVE E, SUITE 1000C, TWIN FALLS, ID 83301-3455
(208) 734-7415
(208) 734-7484
Mailing address
1411 FALLS AVE E, SUITE 1000C, TWIN FALLS, ID 83301-3455
(208) 734-7415
(208) 734-7484
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-4217
ID
Other
Enumeration date
07/13/2009
Last updated
09/25/2012
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