| NPI | 1215712666 |
|---|---|
| Doing Business As | SAWTOOTH KIDS PEDIATRIC DENTISTRY |
| Doing Business As | SAWTOOTH KIDS PEDIATRIC DENTISTR |
| Entity Type | Organization |
| Authorized Contact | MARK OLSEN Dentist/Owner 208-910-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |