| NPI | 1477023778 |
|---|---|
| Doing Business As | IDAHO FALLS ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GREGORY MCGEE President 208-521-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2019-07-24 |