| NPI | 1093361818 |
|---|---|
| Other Name | ADVANCED DENTAL CENTER |
| Other Name | ADVANCED DENTAL |
| Other Name | DR. RYAN HIRSCHI |
| Entity Type | Organization |
| Authorized Contact | RYAN HIRSCHI Owner/Dentist 208-852-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |