| NPI | 1649935818 |
|---|---|
| Doing Business As | HIGH DESERT DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRISTA E POTTENGER Owner 208-484-8212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |