| NPI | 1215426689 |
|---|---|
| Doing Business As | CHILDRENS DENTISTRY OF TWIN FALLS |
| Entity Type | Organization |
| Authorized Contact | LEANN SPORIN Office Manager 208-724-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2023-04-11 |