| NPI | 1659544427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL SUTTON President/Dentist 208-233-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D-3509) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |