Dr. TIMOTHY TRACY OBRIEN DDS, MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1487910733- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS, MD
- Status
- Active
Contact & Location
- Address
- 403 S 11TH ST STE 320, BOISE, ID, 837026968
- Phone
- (208) 375-0191
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: ID #D-5013-OS