| NPI | 1245324391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS B AKERS Periodontist 208-233-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: ID D1738PE) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |