Organization
TWIN FALLS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER TIU D.M.D. (DENTIST)
(208) 733-2621
Entity
Organization
Contact information
Practice address
788 EASTLAND DR, SUITE A, TWIN FALLS, ID 83301-6856
(208) 733-2621
(208) 733-1086
Mailing address
PO BOX 5559, TWIN FALLS, ID 83303-5559
(208) 733-2621
(208) 733-1086
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4257
ID
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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