| NPI | 1487528584 |
|---|---|
| Doing Business As | FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NATHAN S GARDNER Owner/Dentist 208-466-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-10 |