| NPI | 1598274433 |
|---|---|
| Doing Business As | NORTHFIELD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TODD LEE MATHESON Owner 208-351-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |