Tdcjerome Pllc
NPI #1104229913 in Jerome, Idaho
Provider Information
- NPI Number
- 1104229913
- Entity Type
- Organization
- Organization Name
- Tdcjerome Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 7, 2014
- Last Updated
- Oct 7, 2014
Practice Location
Authorized Official
- Name
- DON S WYATT
- Title
- OWNER
- Phone
- (208) 324-8861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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