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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