| NPI | 1225768476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG HUNTER DARRINGTON Doctor / Owner 208-569-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2022-06-11 |