| NPI | 1023264108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY C SAVAGE President 208-733-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-2086) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |