| NPI | 1679860829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER B MACHEN President 208-552-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-4356) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2016-10-14 |