| NPI | 1518126978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SHANE SCHOLES President 208-658-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3619) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |