| Tdc Buhl Pllc | |
|
529 Broadway Ave South Buhl ID 83316 | |
| (208) 543-6511 | |
| (208) 543-2960 |
| Full Name | Tdc Buhl Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 529 Broadway Ave South, Buhl, Idaho |
| Authorized Official Name and Position | Don S Wyatt (DDS/OWNER) |
| Authorized Official Contact | 2083248861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Buhl Pllc 529 Broadway Ave South Buhl ID 83316 Ph: (208) 543-6511 | Tdc Buhl Pllc 529 Broadway Ave South Buhl ID 83316 Ph: (208) 543-6511 |
| NPI Number | 1336608868 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336608868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Buhl Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 Broadway Ave S, Buhl, ID 83316 Phone: 208-543-6511 Fax: 208-543-2960 |