PALOUSE ORAL & MAXILLOFACIAL SURGERY is a dental clinic center in Moscow, ID. PALOUSE ORAL & MAXILLOFACIAL SURGERY NPI is 1497083638. The provider is registered as an organization entity type.
The provider's business location address is:
2301 W A ST
SUITE A
MOSCOW, ID
ZIP 83843-042
Phone: (208) 882-0331
The provider's authorized official is John Wallace Morrisn .
The authorized official title is Owner and has the following contact phone number (208) 882-0331.
The enumeration date for this NPI number is 11/30/2009 and was last updated on 11/30/2009.