| NPI | 1821251463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A NILAND Doctor 208-467-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OR D3235) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |