NPI | 1265882484 |
---|---|
Doing Business As | THE DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | JEFFREY CLAWSON Dentist/Owner 208-681-6181 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10436) |
Enumeration Date | 2016-06-19 |
Last Update Date | 2016-06-19 |