Whalio Doctors

NPI 1013274661

Treasure Valley Oral and Facial Surgery PLLC

Organisation Oral and Maxillofacial Surgery (Dentist) Boise, ID

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
Dental Providers Taxonomy 1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence D4410 (ID)

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.