| NPI | 1801332093 |
|---|---|
| Doing Business As | TOOTH CLUB FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | ALAN MCKAY GARRETT Owner/Dentist 208-670-2914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D008806) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |