NPI | 1508433160 |
---|---|
Doing Business As | INTEGRATED DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | TODD MATHESON Owner 208-351-1001 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2021-06-10 |
Last Update Date | 2021-06-10 |