NPI 1013274661
Treasure Valley Oral and Facial Surgery PLLC
Practice location
- Address
- 1000 N. Curtis Rd Suite 103, Boise, ID 83706
- Phone
- (208) 343-0909
- Fax
- (208) 343-6282
Authorised official
- Name
- Cole W Anderson
- Title
- Owner
- Phone
- (208) 861-1689
Registered specialties (2)
Oral and Maxillofacial Surgery (Dentist)
Primary
Oral and Maxillofacial Surgery (Dentist)
Registry record
- NPI
- 1013274661
- Entity type
- Organization
- NPI issued
- 20 Apr 2012
- Record last updated
- 6 Sep 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.