| NPI | 1558123356 |
|---|---|
| Doing Business As | GRAND PEAKS DENTAL |
| Entity Type | Organization |
| Authorized Contact | LORI K SESSIONS CEO 208-356-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-05-02 |