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Tdc Gooding PLLC

Dentist, General Practice in Gooding, ID. Organization (NPI-2).

NPI number1982173746
StatusActive
Last updated in NPPESNov 21, 2018

Details

NPI
1982173746
Entity type
Organization (NPI-2)
Legal business name
Tdc Gooding PLLC
Organization subpart
No
Enumeration date
Nov 21, 2018
Last updated
Nov 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Today'S Dental Care Gooding (Doing Business As)

Practice location

325 Main Street
Gooding, ID 83330

Phone 208-934-8080

Mailing address

325 Main Street
Gooding, ID 83330

Phone 208-934-8080 · Fax 208-934-9756

Authorized official

Don S Wyatt
DDS/Owner
2083248861

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