ORAL SURGERY CENTER OF IDAHO PLLC NPI 1841634581

NPI Information

ORAL SURGERY CENTER OF IDAHO, PLLC is an oral and maxillofacial surgery clinic center in Meridian, ID. The provider is the specialty of dentistry which includes 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. ORAL SURGERY CENTER OF IDAHO, PLLC NPI is 1841634581. The provider is registered as an organization entity type.

The provider's business location address is:

1550 N CRESTMONT DR STE G
MERIDIAN, ID
ZIP 83642-177
Phone: (208) 884-0100
Fax: (208) 884-4844

The provider's authorized official is Michael Dabell .
The authorized official title is Oral Surgeon and has the following contact phone number (208) 884-0100.

The enumeration date for this NPI number is 4/24/2013 and was last updated on 4/24/2013.

Taxonomy Codes

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