| NPI | 1053279182 |
|---|---|
| Doing Business As | WHITE OAK KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JESSE IVIE COO 208-539-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2026-01-15 |
| Last Update Date | 2026-01-15 |