| NPI | 1053632919 |
|---|---|
| Doing Business As | COMFORT CARE DENTAL OF POCATELLO |
| Entity Type | Organization |
| Authorized Contact | CHRIS D HANSEN Owner 208-233-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ID D4164) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |