NPI | 1033896337 |
---|---|
Doing Business As | SUMMIT KIDS DENTAL |
Entity Type | Organization |
Authorized Contact | MARC SOELBERG Owner 208-618-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-06-29 |
Last Update Date | 2023-06-29 |