| NPI | 1083487706 |
|---|---|
| Doing Business As | HEALTH WEST EVANSTONS DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMELIA MURPHY Medical Staff Coordinator 208-232-7862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |