COEUR D' ALENE ORAL SURGERY is an oral and maxillofacial surgery dentist in Coeur D Alene, ID. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. COEUR D' ALENE ORAL SURGERY NPI is 1023398716. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1027 E SHERMAN AVE
COEUR D ALENE, ID
ZIP 83814-152
Phone: (208) 667-0655
Fax: (208) 667-5745
The provider's authorized official is Thomas G Walsh .
The authorized official title is Owner and has the following contact phone number (208) 667-0655.
The enumeration date for this NPI number is 8/25/2011 and was last updated on 8/25/2011.