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IDAHO ORAL & MAXILLOFACIAL SURGERY, PC

Oral and Maxillofacial Pathology

Twin Falls, Idaho

Provider NPI: 1588868442

Organization Information:
Organization Name:  IDAHO ORAL & MAXILLOFACIAL SURGERY, PC
Organization is not Subpart
Authorized Official:  TIMOTHY TED HOPKINS  OWNER  208-7331182

Practice Location:
590 FALLS AVE  TWIN FALLS, ID 83301 US
Tel: 208-733-1182  Fax: 208-733-3341

Business Mailing Address:
590 FALLS AVE  TWIN FALLS, ID 83301 US
Tel: 208-733-1182  Fax: 208-733-3341

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0106XDental Providers
Dentist
Oral and Maxillofacial Pathology
IDD3944-OS





JOBS ID

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