| NPI | 1669643391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE J WILLIAMS Owner/Dentist 208-232-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID 1577) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |