| NPI | 1639338866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H CUNNINGTON Dentist 208-467-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-3270) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |