Twin Falls Dental Group Pllc
NPI #1720520505 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1720520505
- Entity Type
- Organization
- Organization Name
- Twin Falls Dental Group Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 10, 2016
- Last Updated
- Nov 10, 2016
Practice Location
- Address
- 788 EASTLAND DR STE A
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6826
- Phone
- (208) 733-2621
Authorized Official
- Name
- CHRISTOPHER HANSEN, DDS
- Title
- DENTIST/PARTNER
- Phone
- (208) 733-2621
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