Facial Trauma Associates Pllc
NPI #1568095883 in Boise, Idaho
Provider Information
- NPI Number
- 1568095883
- Entity Type
- Organization
- Organization Name
- Facial Trauma Associates Pllc
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Feb 14, 2020
- Last Updated
- Feb 14, 2020
Practice Location
Authorized Official
- Name
- DR. COLE W ANDERSON, DMD
- Title
- MEMBER
- Phone
- (208) 343-0909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
| Oral & Maxillofacial Surgery |
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