NPI | 1437969326 |
---|---|
Doing Business As | AUSTIN CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | TODD S ADAMS Member 208-938-1825 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-13 |