| NPI | 1164210126 |
|---|---|
| Doing Business As | SWAN FALLS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAUL BLAISDELL Owner/General Dentist 208-922-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |