| NPI | 1467067819 |
|---|---|
| Doing Business As | TWIN BRANCH DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW ZAREMBA Dentist 208-220-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |