| NPI | 1407015613 |
|---|---|
| Doing Business As | BENCHMARK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUZANNE B MOONEY Bookkeeper 208-376-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3039) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |