Tmd Pllc

NPI #1366601734 in Boise, Idaho

Provider Information

NPI Number: 1366601734
Entity Type: Organization
Organization Name: Tmd Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 2, 2008
Last Updated: Sep 6, 2011

Practice Location

Address: 2031 E HOSPITALITY LN
Address 2: SUITE 100
City: Boise
State: Idaho
ZIP Code: 83716-6603
Phone: (208) 333-9999

Authorized Official

Name: MRS. MICHELLE D RYAN
Title: OFFICE MANAGER
Phone: (208) 333-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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