TIMOTHY TRACY OBRIEN

BOISE, ID
NPI1487910733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: ID  D-5013-OS)
Enumeration Date2012-04-11
Last Update Date2021-06-03
Business Address
Dr. TIMOTHY TRACY OBRIEN DDS, MD
403 S 11TH ST STE 320
BOISE, ID 83702-6968
Phone number: 208-375-0191
Mailing Address
Dr. TIMOTHY TRACY OBRIEN DDS, MD
403 S 11TH ST STE 320
BOISE, ID 83702-6968
Phone number: 208-375-0191
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