| NPI | 1669847596 |
|---|---|
| Doing Business As | SUPERIOR SMILES |
| Entity Type | Organization |
| Authorized Contact | DARCY JO HOCHSTRASSER Office Manager 208-233-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2016-02-02 |