Idaho Center for Oral and Facial Surgery

NPI #1558675298 in Pocatello, Idaho

Provider Information

NPI Number
1558675298
Entity Type
Organization
Organization Name
Idaho Center for Oral and Facial Surgery
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Aug 5, 2010
Last Updated
Nov 30, 2010

Practice Location

Address
177 VISTA DR
State
Idaho
ZIP Code
83201-5824
Phone
(208) 232-0232

Authorized Official

Name
DR. JEFFREY C DABELL, DMD, MD
Title
SURGEON
Phone
(208) 232-0232

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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