| NPI | 1053422691 |
|---|---|
| Doing Business As | ADVANCED DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BRETT D NAYLOR President 208-852-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ID D3124) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-08-11 |