NPI | 1821762949 |
---|---|
Doing Business As | CALDWELL FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | BROOKS JOSEPH UNIAT Owner 208-459-0113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-08-03 |
Last Update Date | 2021-08-03 |