Individual
DR. RYAN T TYNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13108 W PERSIMMON LN, BOISE, ID 83713-1986
(208) 377-2160
Mailing address
13108 W PERSIMMON LN, BOISE, ID 83713-1986
(208) 377-2160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4130
ID
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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