| NPI | 1558479246 |
|---|---|
| Other Name | DR JOHN C. ROBERTS/DR KEVIN W. HALL |
| Entity Type | Organization |
| Authorized Contact | JOHN C ROBERTS Dentist 208-733-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D3520) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: ID D3166) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-09-07 |