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Organization
TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC
Active
Organization
TREASURE VALLEY ORAL AND FACIAL SURGERY PLLC
Active
Other names
Boise Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
COLE W ANDERSON DMD, MS (OWNER)
(208) 861-1689
Entity
Organization
Contact information
Practice address
1000 N. CURTIS RD, SUITE 103, BOISE, ID 83706
(208) 343-0909
(208) 343-6282
Mailing address
1000 N. CURTIS RD, SUITE 103, BOISE, ID 83706
(208) 343-0909
(208) 343-6282
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D4410
ID
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
ID
Other
Enumeration date
04/20/2012
Last updated
09/06/2017
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