| NPI | 1053614248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN WESTERBERG Denturist Half Owner 208-323-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: ID LD32) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |