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Oral and Maxillofacial Pathology

Boise, Idaho

Provider NPI: 1568095883

Organization Information:
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


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


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