NPI | 1033461660 |
---|---|
Doing Business As | ROCKHOUSE DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES CANNON ALLEN Dentist 208-356-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-3634) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2012-10-05 |