NPI | 1174917330 |
---|---|
Doing Business As | VICTORY DENTAL |
Entity Type | Organization |
Authorized Contact | DAVID L RIPPLINGER President 208-888-6254 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-03-31 |