| NPI | 1013188804 |
|---|---|
| Doing Business As | MADISON PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROSS N HUGUES Owner/Pediatric Dentist 208-552-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2016-02-12 |