Magic Valley Oral Surgery Valid NPI

Organization · Oral and Maxillofacial Surgery (Dentist) · Twin Falls, ID

NPI

1073720009

Type

Organization (Type 2)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

D1658 (ID)

Enumerated

2007-05-17

Last updated

2020-08-22