| NPI | 1659898872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N. PERKINS Dentist 208-425-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D4716) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-03-17 |