Eagle Anesthesia & Oral Surgery Pllc

NPI #1972333565 in Boise, Idaho

Provider Information

NPI Number
1972333565
Entity Type
Organization
Organization Name
Eagle Anesthesia & Oral Surgery Pllc
Primary Specialty
Dentist - Dental Anesthesiology
Enumeration Date
Aug 7, 2024
Last Updated
Aug 7, 2024

Practice Location

Address
5266 N EAGLE RD
City
Boise
State
Idaho
ZIP Code
83713-0945
Phone
(503) 679-9797

Authorized Official

Name
RYAN JUDD, DMD
Title
DENTIST ANESTHESIOLOGIST
Phone
(503) 679-9797

Specialties & Taxonomy Codes

Specialty
Dentist - Dental AnesthesiologyDental Anesthesiology

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