| NPI | 1548282528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE D TURNER Office Administrator 208-888-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D1820) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |