NPI | 1811268121 |
---|---|
Doing Business As | LOFTUS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | GEORGE J LOFTUS Ower/Dentist 208-765-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3019) |
Enumeration Date | 2012-01-18 |
Last Update Date | 2012-01-18 |