| NPI | 1023746294 |
|---|---|
| Doing Business As | EMERALD SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KENNETH C BENSON Owner 208-593-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |