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Palouse Oral & Maxillofacial Surgery
Dental Clinic/Center in Moscow, Idaho
NPI 1497083638

Palouse Oral & Maxillofacial Surgery is a Dental Clinic/Center based in Moscow, ID and is specialized in Dental. Palouse Oral & Maxillofacial Surgery practices in Moscow, ID. The NPI Number for Palouse Oral & Maxillofacial Surgery is 1497083638 and holds a License No. D-3321-OS (Idaho).

The current practice location address for Palouse Oral & Maxillofacial Surgery is 2301 W A St, Moscow, ID and can be reached out via phone at 208-882-0331.

Location: 2301 W A St, Moscow, ID, 83843-4042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497083638
Provider Name
Palouse Oral & Maxillofacial Surgery
Credential
Provider Entity Type
Organization
Address
2301 W A St, Moscow, ID, 83843-4042
Phone Number
208-882-0331
Fax Number
Provider Enumeration Date
11/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164567913 01 ID NPI-PERSONAL
institution
Provider Business Practice Location Address Details
Address
2301 W A St
City
Moscow
State
Idaho
Zip
83843-4042
Phone Number
208-882-0331
Fax Number
person
Provider Business Mailing Address Details
Address
2301 W A St
City
Moscow
State
Idaho
Zip
83843-4042
Phone Number
208-882-0331
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D-3321-OS (Idaho)
Definition
Definition to come...
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