| NPI | 1255577490 |
|---|---|
| Doing Business As | EMMETT DENTAL GROUP P.C. |
| Entity Type | Organization |
| Authorized Contact | WARREN RICHARD WILLIS Owner 208-365-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D-3635) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |