| NPI | 1780859223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAL HEBER BINGHAM Dentist 208-227-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D3960EN) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |