PARKCENTER ORAL AND MAXILLOFACIAL SURGERY

BOISE, ID
NPI1811670631
Entity TypeOrganization
Authorized ContactSTUART J RUPP
Owner
208-553-6813
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2023-08-09
Last Update Date2023-10-20
Business Address
PARKCENTER ORAL AND MAXILLOFACIAL SURGERY
3190 E BARBER VALLEY DR
BOISE, ID 83716
Phone number: 208-715-5219
Mailing Address
PARKCENTER ORAL AND MAXILLOFACIAL SURGERY
3190 E BARBER VALLEY DR
BOISE, ID 83716
Phone number: 208-715-5219