NEWELL TYLER ELISON

JEROME, ID
NPI1144516733
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-4431)
Enumeration Date2011-06-22
Last Update Date2016-03-27
Business Address
Dr. NEWELL TYLER ELISON DDS
1555 S LINCOLN AVE
JEROME, ID 83338-6136
Phone number: 208-644-9166
Mailing Address
Dr. NEWELL TYLER ELISON DDS
2264 CANDLERIDGE DR
TWIN FALLS, ID 83301-8321
Phone number:
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