EAGLE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
Oral and Maxillofacial Surgery (Dentist) · EAGLE, ID
Organization Active NPI 1780074864
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | D-4617-OS | ID |
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See all Oral and Maxillofacial Surgery (Dentist) providers in Idaho →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.