| NPI | 1437595881 |
|---|---|
| Doing Business As | JUST 4 KIDDS DENTISTRY FOR CHILDREN |
| Entity Type | Organization |
| Authorized Contact | JORDAN ELLISON HIGHAM Owner/Dentist 208-529-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ID D-4205-PD) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |