| NPI | 1487484721 |
|---|---|
| Doing Business As | DESERT ROSE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES DEREK BARNES Owner/Dentist 208-949-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |