| NPI | 1255502977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY HARRIS BRUMBACH Dentist/Owner 208-777-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3629) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |