Parkcenter Oral and Maxillofacial Surgery
Parkcenter Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Boise, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3190 E Barber Valley DrBoise, ID 83716
Phone: (208) 715-5219
Fax: (208) 504-2771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|
Record details
| NPI number | 1811670631 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stuart Rupp — Owner · (208) 553-6813 |
| NPI enumerated | August 9, 2023 |
| Last updated in NPPES | October 20, 2023 |
| Certification date | October 20, 2023 |
| Mailing address | 3190 E Barber Valley Dr, Boise, ID 83716 |
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