ELISON ORAL AND MAXILLOFACIAL SURGERY

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1114255916

Practice Address

2588 CHANNING WAY
Idaho Falls, ID 83404

Phone: (208) 524-3200

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes -

Frequently Asked Questions

NPI 1114255916 is the National Provider Identifier for ELISON ORAL AND MAXILLOFACIAL SURGERY, a Dentist - Oral and Maxillofacial Surgery provider located in Idaho Falls, ID. This NPI was enumerated on December 7, 2009.

Quick Facts

NPI
1114255916
Type
Organization
Enumerated
Dec 7, 2009
Last Updated
Dec 7, 2009

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