IDAHO ORAL & MAXILLOFACIAL SURGERY, PC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Pathology
Provider Information
- NPI Number
1588868442- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 590 FALLS AVE, TWIN FALLS, ID, 833013314
- Phone
- (208) 733-1182
- Fax
- (208) 733-3341
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Pathology
Primary License: ID #D3944-OS