NPI | 1124657010 |
---|---|
Doing Business As | RIGBY PEDIATRIC DENTAL |
Entity Type | Organization |
Authorized Contact | KORY BINGHAM Managing Member 208-716-9724 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-04-03 |