| NPI | 1477278695 |
|---|---|
| Doing Business As | GREEN TREE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHAD HESS Owner 208-870-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |