DR. Tysen Wood, DMD

NPI #1205451598 in Meridian, Idaho

Provider Information

NPI Number
1205451598
Entity Type
Individual
Name
DR. Tysen Wood, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jun 11, 2020
Last Updated
Mar 26, 2025

Practice Location

Address
3877 E AMITY RD
State
Idaho
ZIP Code
83642-8380
Phone
(208) 900-4669

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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