| NPI | 1164101754 |
|---|---|
| Doing Business As | CFC DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARLEN VILLEGAS Medical Billing Specialist 208-528-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 1223G0001X Dentist, General Practice | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-17 |