Organization
BOISE ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN KEMPERS DDS/MD (OWNER)
(208) 376-4550
Entity
Organization
Contact information
Practice address
6363 W EMERALD ST, SUITE 103, BOISE, ID 83704-8783
(208) 376-4550
(208) 376-4552
Mailing address
6363 W EMERALD ST, SUITE 103, BOISE, ID 83704-8783
(208) 376-4550
(208) 376-4552
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-3407
ID
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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