| NPI | 1467281451 |
|---|---|
| Other Name | PARKS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARY FRANCIS ANN PARKS Dentist 208-507-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |