| 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 |