| NPI | 1285884056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL BRENT ADAMS Owner 208-936-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID d4010) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |