| NPI | 1649589441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN D BABCOCK Dentist 208-772-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D2001) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |