| NPI | 1558887067 |
|---|---|
| Other Name | ELEMENT DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES ROBSON Authorized Official 208-772-4066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: ID D-4015) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |