| NPI | 1811537251 |
|---|---|
| Doing Business As | NORTH IDAHO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AMY WINTER Office Manager 208-667-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2021-02-03 |