Individual
DR. STEPHEN RAY LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
174 ASH STREET NORTH, TWIN FALLS, ID 83301-5232
(208) 734-3148
(208) 736-3907
Mailing address
174 ASH STREET NORTH, TWIN FALLS, ID 83301-5232
(208) 734-3148
(208) 736-3907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1359
ID
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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