| NPI | 1457050619 |
|---|---|
| Doing Business As | TRAIL CREEK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRADEN C COMSTOCK Dentist 208-272-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |