| NPI | 1497142350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW N BITTER Dentist 208-529-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-4623) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-06-11 |