Elison Oral and Maxillofacial Surgery
NPI #1114255916 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1114255916
- Entity Type
- Organization
- Organization Name
- Elison Oral and Maxillofacial Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Dec 7, 2009
- Last Updated
- Dec 7, 2009
Practice Location
- Address
- 2588 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7515
- Phone
- (208) 524-3200
Authorized Official
- Name
- DR. MARK TURNEY ELISON, DMD
- Title
- PRESIDENT
- Phone
- (208) 524-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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