Oral Surgery Center of Idaho, Pllc

NPI #1841634581 in Meridian, Idaho

Provider Information

NPI Number
1841634581
Entity Type
Organization
Organization Name
Oral Surgery Center of Idaho, Pllc
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Apr 24, 2013
Last Updated
Apr 24, 2013

Practice Location

Address
1550 N CRESTMONT DR STE G
State
Idaho
ZIP Code
83642-2177
Phone
(208) 884-0100

Authorized Official

Name
MICHAEL DABELL
Title
ORAL SURGEON
Phone
(208) 884-0100

Specialties & Taxonomy Codes

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

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Provider Name
Alpine Surgical Arts Meridian LLC

Part of Alpine Surgical Arts LLC

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