IDAHO ORAL SURGERY PLLC

Exclusive Provider Organization

Active Organization
NPI: 1912172958

Practice Address

1820 N WHITLEY DR
Fruitland, ID 83619

Phone: (208) 452-4808

Specialties

Specialty Code Primary License
Exclusive Provider Organization 302F00000X Yes D3949OS (ID)

Frequently Asked Questions

NPI 1912172958 is the National Provider Identifier for IDAHO ORAL SURGERY PLLC, a Exclusive Provider Organization provider located in Fruitland, ID. This NPI was enumerated on April 29, 2008.

Quick Facts

NPI
1912172958
Type
Organization
Enumerated
Apr 29, 2008
Last Updated
Apr 19, 2010

Nearby Providers