| NPI | 1366254450 |
|---|---|
| Doing Business As | MOUNTAIN WEST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAKE TEICHERT GARN Owner 208-654-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |