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DR. Timothy Tracy Obrien, DDS, MD

NPI #1487910733 in Boise, Idaho

Provider Information

NPI Number
1487910733
Entity Type
Individual
Name
DR. Timothy Tracy Obrien, DDS, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS, MD
Enumeration Date
Apr 11, 2012
Last Updated
Jun 3, 2021

Practice Location

Address
403 S 11TH ST STE 320
City
Boise
State
Idaho
ZIP Code
83702-6968
Phone
(208) 375-0191

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery

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