FACIAL ORAL AND DENTAL IMPLANT SURGERY ASSOCIATES, INC.
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1003060591- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3326 4TH ST STE 2, LEWISTON, ID, 835014455
- Phone
- (208) 743-1640
- Fax
- (208) 743-1643
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: ID #D-4057