| NPI | 1538030903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MARC MURPHY Owner 208-339-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |