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Palouse Oral & Maxillofacial Surgery

NPI #1497083638 in Moscow, Idaho

Provider Information

NPI Number
1497083638
Entity Type
Organization
Organization Name
Palouse Oral & Maxillofacial Surgery
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 30, 2009
Last Updated
Nov 30, 2009

Practice Location

Address
2301 W A ST
Address 2
SUITE A
City
Moscow
State
Idaho
ZIP Code
83843-4042
Phone
(208) 882-0331

Authorized Official

Name
DR. JOHN WALLACE MORRISN, D.M.D.
Title
OWNER
Phone
(208) 882-0331

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Dental — Dental

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