| NPI | 1568621886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY SCOTT BUTTERFIELD Owner 208-888-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3806) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |