| NPI | 1376336925 |
|---|---|
| Doing Business As | WILLOW CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | DORCI HARRIS Office Manager 208-221-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |