| NPI | 1689077026 |
|---|---|
| Former Legal Business Name | FLORENCE AND LINCKS AND ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RANDY S DEMETTER Owner/Partner 208-385-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2023-05-08 |