NPI | 1013732478 |
---|---|
Doing Business As | TAYLORVIEW DENTAL |
Entity Type | Organization |
Authorized Contact | TODD MATHESON Dentist/Owner 208-522-4491 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-11-20 |
Last Update Date | 2024-11-20 |