NPI | 1083975304 |
---|---|
Doing Business As | TREASURE VALLEY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | RHETT MATTHEW YEAKLEY Dentist 530-510-3884 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D4338) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2012-06-04 |