| NPI | 1558458281 |
|---|---|
| Doing Business As | PALOUSE VIEW DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JAY CLAYTON HANSEN Dentist/Owner 208-882-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ID D3853) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-04-26 |