| NPI | 1588077598 |
|---|---|
| Doing Business As | ARTISAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | NATHAN GARY BOURASSA President 208-664-9506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ID D4076) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |