| NPI | 1639732399 |
|---|---|
| Doing Business As | ASCEND DENTAL |
| Entity Type | Organization |
| Authorized Contact | LEAH M. GARDOSKI Insurance Administrator 208-939-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2025-08-11 |