NPI | 1376922179 |
---|---|
Doing Business As | FALLS DENTAL |
Entity Type | Organization |
Authorized Contact | DAVID STERZER Dentist 208-904-3496 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ID D4634) |
Additional Taxonomies | 122300000X Dentist (Licence: ID D3963) |
122300000X Dentist (Licence: ID D1967) | |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |