| NPI | 1437435781 |
|---|---|
| Doing Business As | ADVANTAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES R WEAVER President 208-284-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011732A) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |