| 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 |