| NPI | 1417118811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS KAY SHERMAN Owner 208-368-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D1475) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |