| NPI | 1801615026 |
|---|---|
| Doing Business As | NORTH FORK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES C THOMASON Owner/Dentist 208-356-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |