| NPI | 1588256903 |
|---|---|
| Doing Business As | QUARTZ CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C JOHNSON Dentist 208-670-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-10-19 |