NPI | 1124684584 |
---|---|
Doing Business As | VICTORY DENTAL |
Entity Type | Organization |
Authorized Contact | TREVOR TAFOYA President 208-447-7555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-05-11 |
Last Update Date | 2019-05-11 |