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WHITEWATER ORAL SURGERY GROUP PLLC

Oral and Maxillofacial Surgery (Dentist)

NPI: 1104248053Organization

Specialties, Licenses & Credentials

Oral and Maxillofacial Surgery (Dentist)Primary

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

M7750(ID)D3407(ID)

Contact & Hours

Address
3003 W MAIN ST STE 130
BOISE, ID 83702

Quick Facts

NPI
1104248053
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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