DR. Tad E Hancock, DDS

NPI #1528139201 in Chubbuck, Idaho

Provider Information

NPI Number
1528139201
Entity Type
Individual
Name
DR. Tad E Hancock, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 13, 2006
Last Updated
Jun 8, 2023

Practice Location

Address
485 WEST CHUBBUCK ROAD SUITE A
State
Idaho
ZIP Code
83202
Phone
(208) 234-1006

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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