JUSTIN HASTINGS DDS, MD
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1831496843- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS, MD
- Status
- Active
Contact & Location
- Address
- 3003 W MAIN ST STE 130, BOISE, ID, 837022026
- Phone
- (208) 342-7610
- Fax
- (208) 344-1799
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: ID #D-4845OS
Oral & Maxillofacial Surgery
License: ID #M-13732