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 |