| NPI | 1154935039 |
|---|---|
| Doing Business As | COMPLETE DENTAL CARE OF NORTH IDAHO |
| Entity Type | Organization |
| Authorized Contact | AARON DOLLAHITE CEO 208-699-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |