Organization
GRIFFITTS FACIAL AND ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR GRIFFITTS DMD (ORAL AND MAXILLOFACIAL SURGEON)
(208) 667-0824
Entity
Organization
Contact information
Practice address
511 W HANLEY AVE, SUITE C, COEUR D ALENE, ID 83815-8995
(208) 667-0824
(208) 667-1216
Mailing address
511 W HANLEY AVE, SUITE C, COEUR D ALENE, ID 83815-8995
(208) 667-0824
(208) 667-1216
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D4563-OS
ID
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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