institution
Table Rock Oral Surgery Pllc
Oral and Maxillofacial Surgery Clinic/Center in Boise, Idaho
NPI 1487238689

Table Rock Oral Surgery Pllc is a Oral and Maxillofacial Surgery Clinic/Center based in Boise, ID and is specialized in Oral and Maxillofacial Surgery. Table Rock Oral Surgery Pllc practices in Boise, ID. The NPI Number for Table Rock Oral Surgery Pllc is 1487238689 and holds a License No. (Idaho).

The current practice location address for Table Rock Oral Surgery Pllc is 403 S 11Th St Ste 320, Boise, ID and can be reached out via phone at 208-375-0191.

Location: 403 S 11Th St Ste 320, Boise, ID, 83702-6968
institution
Provider Profile Details
NPI Number
1487238689
Provider Name
Table Rock Oral Surgery Pllc
Credential
Provider Entity Type
Organization
Address
403 S 11Th St Ste 320, Boise, ID, 83702-6968
Phone Number
208-375-0191
Fax Number
Provider Enumeration Date
05/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
403 S 11Th St Ste 320
City
State
Zip
83702-6968
Phone Number
208-375-0191
Fax Number
person
Provider Business Mailing Address Details
Address
403 S 11Th St Ste 320
City
State
Zip
83702-6968
Phone Number
208-375-0191
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
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Definition
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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