| NPI | 1154805786 |
|---|---|
| Doing Business As | NAMPA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAYNE D. PAYNE President 208-884-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2020-05-08 |