Individual
MR. PAIGE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 MARTIN ST, TWIN FALLS, ID 83301-4563
(208) 734-0451
(208) 734-0452
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3707
ID
Other
Enumeration date
08/31/2006
Last updated
12/03/2012
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