| NPI | 1053321885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD WILLIAM HARPER Owner/President 208-785-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ID D3225) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-07-30 |