| NPI | 1558406405 |
|---|---|
| Doing Business As | TEETHMAKERS DBA CDA DENTURE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE KAY NEFF Denturist Co Owner 208-667-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: ID LD42) |
| Additional Taxonomies | 122400000X Denturist (Licence: ID LD43) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |