| NPI | 1467218552 |
|---|---|
| Doing Business As | BOISE ORAL SURGERY & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Director Of Credentialing And Pr 615-678-0759 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |