Tristan Galloway, DDS

NPI #1679889398 in Nampa, Idaho

Provider Information

NPI Number: 1679889398
Entity Type: Individual
Name: Tristan Galloway, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 19, 2010
Last Updated: Aug 19, 2010

Practice Location

Address: 3600 S MIDLAND BLVD
City: Nampa
State: Idaho
ZIP Code: 83686-8215
Phone: (208) 250-3115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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