| NPI | 1417119330 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY OF TWIN FALLS |
| Entity Type | Organization |
| Authorized Contact | DALLIN CLIFFORD YOUNG President 208-733-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ID D-3874-PD) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |