| NPI | 1073995403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY WHIPPLE Owner/Dentist 208-788-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID 4599) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |