# TREVOR TAFOYA DDS VICTORY DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victory Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124684584
- **Authorized official:** TREVOR TAFOYA DMD (PRESIDENT)
- **Authorized official phone:** (208) 447-7555

## Contact information

- **Practice address:** 7421 W VICTORY RD, BOISE, ID 83709-5106
- **Practice address phone:** (208) 402-1040
- **Practice address fax:** (866) 324-2220
- **Mailing address:** 2598 E LA GRANGE DR, MERIDIAN, ID 83642-4773
- **Mailing address phone:** (208) 447-7555
- **Mailing address fax:** (866) 324-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2019
- **Last updated:** 05/11/2019