| NPI | 1033985197 |
|---|---|
| Doing Business As | PAYETTE DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL CONCIDINE Dentist/Owner 208-339-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |