Organization
NORTHWEST ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYRUS HAGHIGHI DDS (OWNER)
(208) 344-9115
Entity
Organization
Contact information
Practice address
3190 E BARBER VALLEY DR, BOISE, ID 83716-4735
(208) 344-9115
(208) 344-9113
Mailing address
1670 S SPRING VALLEY LN, MERIDIAN, ID 83642-9094
(208) 344-9115
(208) 344-9113
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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