Organization
MAGIC VALLEY ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT LYNN WILLIAMS DMD (OWNERPRESIDENT)
(208) 734-3562
Entity
Organization
Contact information
Practice address
590 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 734-3562
(208) 736-8339
Mailing address
590 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 734-3562
(208) 736-8339
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D1658
ID
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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