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FACIAL TRAUMA ASSOCIATES PLLC

Oral and Maxillofacial Pathology

Boise, Idaho

Provider NPI: 1568095883

Organization Information:
Organization Name:  FACIAL TRAUMA ASSOCIATES PLLC
Organization is not Subpart
Authorized Official:  COLE W ANDERSON  MEMBER  208-3430909

Practice Location:
1000 N CURTIS RD STE 103  BOISE, ID 83706 US
Tel: 208-343-0909  Fax: --

Business Mailing Address:
1000 N CURTIS RD STE 103  BOISE, ID 83706 US
Tel: 208-343-0909  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223P0106XDental Providers
Dentist
Oral and Maxillofacial Pathology
Y204E00000XPhysicians
Oral & Maxillofacial Surgery





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