| NPI | 1265532261 |
|---|---|
| Other Name | DELWYN LEE DICK, D.D.S. |
| Entity Type | Organization |
| Authorized Contact | DELWYN LEE DICK CEO 208-762-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID ID03049) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |