Magic Valley Oral Surgery
NPI #1073720009 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1073720009
- Entity Type
- Organization
- Organization Name
- Magic Valley Oral Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 590 FALLS AVE
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3314
- Phone
- (208) 734-3562
Authorized Official
- Name
- DR. VINCENT LYNN WILLIAMS, DMD
- Title
- OWNERPRESIDENT
- Phone
- (208) 734-3562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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