| NPI | 1639732399 |
|---|---|
| Doing Business As | PARKWAY DENTAL AT EAGLE |
| Entity Type | Organization |
| Authorized Contact | KARLA PICCIOTTI Office Manager 208-850-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |