| NPI | 1710112875 |
|---|---|
| Doing Business As | GENTLE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | RONALD E MENDENHALL Owner 208-773-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D-3772) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |