Organization
TREVOR TAFOYA DDS VICTORY DENTAL, PLLC
Active
Other names
Victory Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR TAFOYA DMD (PRESIDENT)
(208) 447-7555
Entity
Organization
Contact information
Practice address
7421 W VICTORY RD, BOISE, ID 83709-5106
(208) 402-1040
(866) 324-2220
Mailing address
2598 E LA GRANGE DR, MERIDIAN, ID 83642-4773
(208) 447-7555
(866) 324-2220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/11/2019
Last updated
05/11/2019
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