EAGLE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1780074864

Practice Address

197 W STATE ST
Eagle, ID 83616

Phone: (208) 995-2865

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes D-4617-OS (ID)

Frequently Asked Questions

NPI 1780074864 is the National Provider Identifier for EAGLE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC, a Dentist - Oral and Maxillofacial Surgery provider located in Eagle, ID. This NPI was enumerated on January 28, 2015.

Quick Facts

NPI
1780074864
Type
Organization
Enumerated
Jan 28, 2015
Last Updated
Jan 28, 2015

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