Organization
JAMES ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE JAMES (OWNER)
(208) 705-9652
Entity
Organization
Contact information
Practice address
2677 E 17TH ST STE 600, AMMON, ID 83406-6619
(208) 705-9652
Mailing address
2677 E 17TH ST STE 600, AMMON, ID 83406-6619
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
02/02/2024
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