Individual
DR. TANNER H BRINGHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1175 CALL PL STE 200, POCATELLO, ID 83201-4990
(208) 232-1260
(208) 240-6475
Mailing address
1175 CALL PL STE 200, POCATELLO, ID 83201-4990
(208) 232-1260
(208) 240-6475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5278
ID
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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