Facial Oral and Dental Implant Surgery Associates, Inc.

NPI #1003060591 in Lewiston, Idaho

Provider Information

NPI Number
1003060591
Entity Type
Organization
Organization Name
Facial Oral and Dental Implant Surgery Associates, Inc.
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Nov 10, 2008
Last Updated
Apr 14, 2011

Practice Location

Address
3326 4TH ST STE 2
State
Idaho
ZIP Code
83501-4455
Phone
(208) 743-1640

Authorized Official

Name
DR. STEPHEN WILFORD HOLM, DMD
Title
OWNER
Phone
(208) 743-1640

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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