| NPI | 1518645365 |
|---|---|
| Doing Business As | SPRING CREEK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRYSON STUCKI Owner/Dentist 208-678-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |