| NPI | 1215108766 |
|---|---|
| Doing Business As | REXBURG ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ANDREW SUMMERS Owner 208-356-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ID D3625-OR) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |