NPI | 1154581056 |
---|---|
Former Legal Business Name | SPENCER J LLOYD DMD |
Entity Type | Organization |
Authorized Contact | SPENCER LLOYD President 208-459-4312 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D3396) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2012-12-10 |