ELISON ORAL AND MAXILLOFACIAL SURGERY

IDAHO FALLS, ID
NPI1114255916
Entity TypeOrganization
Authorized ContactMARK TURNEY ELISON
President
208-524-3200
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2009-12-07
Last Update Date2009-12-07
Business Address
ELISON ORAL AND MAXILLOFACIAL SURGERY
2588 CHANNING WAY
IDAHO FALLS, ID 83404-7515
Phone number: 208-524-3200
Mailing Address
ELISON ORAL AND MAXILLOFACIAL SURGERY
1655 CORONADO ST
IDAHO FALLS, ID 83404-7467
Phone number: 208-529-0634