NPI | 1780904623 |
---|---|
Doing Business As | HOOVER DENTAL |
Entity Type | Organization |
Authorized Contact | JEFFREY ALLAN HOOVER Owner 208-524-4668 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D3085) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2010-06-02 |