| NPI | 1609560937 |
|---|---|
| Doing Business As | HANCOCK DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAD E HANCOCK Owner 208-234-1006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |