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 |