| NPI | 1083877674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T NORRIS Dentist 208-788-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D3816) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |