Center For Oral & Facial Surgery
CENTER FOR ORAL & FACIAL SURGERY official legal name IDAHO ORAL SURGERY PLLC is located at 1820 N WHITLEY DR, Fruitland, Idaho. CENTER FOR ORAL & FACIAL SURGERY primary taxonomy is Exclusive Provider Organization in the state of Idaho.
Organization Legal Name | IDAHO ORAL SURGERY PLLC |
Organization Other Name | CENTER FOR ORAL & FACIAL SURGERY |
NPI | 1912172958 |
City | Fruitland |
State | Idaho |
Address 1 | 1820 N WHITLEY DR |
Postal Code | 83619 |
Phone | 2084524808 |
Fax | 2084526617 |
Related medical specializations
Taxonomy ID | Grouping | Classification | Specialization |
---|---|---|
302F00000X | Managed Care Organizations | Exclusive Provider Organization |