| NPI | 1750044699 |
|---|---|
| Doing Business As | RIDGECREST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYAN MICHAEL LEININGER General Dentist 208-936-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |