| NPI | 1104227883 |
|---|---|
| Doing Business As | YOUNG SMILES CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DALLIN YOUNG Chairman 208-404-9888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AK DEN D1576) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |