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IDAHO ORAL SURGERY PLLC

Exclusive Provider Organization

NPI: 1912172958Organization

Specialties, Licenses & Credentials

Exclusive Provider Organization

Code: 302F00000X

D3949OS(ID)

Contact & Hours

Address
1820 N WHITLEY DR
FRUITLAND, ID 83619

Quick Facts

NPI
1912172958
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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