NPI | 1760577332 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN T SACHSE Dentist 208-345-9096 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID ID03580) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |