| NPI | 1710741673 |
|---|---|
| Doing Business As | SUNNY HILLS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMIE FAIRCHILD CEO 208-690-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |