WHITEWATER WOODRIVER ORAL SURGERY

HAILEY, ID
NPI1790202810
Entity TypeOrganization
Authorized ContactMARIE E BERRY
Manager
208-788-5308
Organization Subpart ?No
Primary Taxonomy261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
Enumeration Date2017-08-29
Last Update Date2022-07-21
Business Address
WHITEWATER WOODRIVER ORAL SURGERY
400 S MAIN ST STE 202
HAILEY, ID 83333-8856
Phone number: 208-788-5308
Mailing Address
WHITEWATER WOODRIVER ORAL SURGERY
400 S MAIN ST STE 202
HAILEY, ID 83333-8856
Phone number: 208-788-5308
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