| NPI | 1689844219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HAROLD LLOYD Owner 208-324-8861 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-1478) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |