| NPI | 1366134397 |
|---|---|
| Doing Business As | DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | KYLE FROST Dentist 208-521-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |