| NPI | 1083884621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY WILLIAMS Owner/Dr. 208-737-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ID D-3602) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |