| 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 |