| NPI | 1376875260 |
|---|---|
| Doing Business As | CLEARWATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW A THUERNAGLE President 208-466-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-4221) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |