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Idaho Center For Oral And Facial Surgery
Oral and Maxillofacial Surgery Clinic/Center in Pocatello, Idaho
NPI 1558675298

Idaho Center For Oral And Facial Surgery is a Oral and Maxillofacial Surgery Clinic/Center based in Pocatello, ID and is specialized in Oral and Maxillofacial Surgery. Idaho Center For Oral And Facial Surgery practices in Pocatello, ID. The NPI Number for Idaho Center For Oral And Facial Surgery is 1558675298 and holds a License No. D-4276-OS (Idaho).

The current practice location address for Idaho Center For Oral And Facial Surgery is 177 Vista Dr, Pocatello, ID and can be reached out via phone at 208-232-0232 and via fax at 208-232-2044.

Location: 177 Vista Dr, Pocatello, ID, 83201-5824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558675298
Provider Name
Idaho Center For Oral And Facial Surgery
Credential
Provider Entity Type
Organization
Address
177 Vista Dr, Pocatello, ID, 83201-5824
Phone Number
208-232-0232
Fax Number
208-232-2044
Provider Enumeration Date
08/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
177 Vista Dr
City
Pocatello
State
Idaho
Zip
83201-5824
Phone Number
208-232-0232
Fax Number
208-232-2044
person
Provider Business Mailing Address Details
Address
177 Vista Dr
City
Pocatello
State
Idaho
Zip
83201-5824
Phone Number
208-232-0232
Fax Number
208-232-2044
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
D-4276-OS (Idaho)
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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