BOISE ORAL AND MAXILLOFACIAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1699949750- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6363 W EMERALD ST SUITE 103, BOISE, ID, 837048783
- Phone
- (208) 376-4550
- Fax
- (208) 376-4552
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: ID #D-3407