Organization · Type 2 NPI
Treasure Valley Oral and Facial Surgery PLLC
Oral and Maxillofacial Surgery (Dentist) · Boise, ID
NPI number
1013274661
Active
Practice location
1000 N. Curtis Rd, Suite 103
Boise, ID 83706
Fax (208) 343-6282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D4410 (ID) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): 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.
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About NPI 1013274661
Treasure Valley Oral and Facial Surgery PLLC's National Provider Identifier is 1013274661, issued on Apr 20, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boise, ID. The record was last updated on Sep 6, 2017.