| NPI | 1831358803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN L CRONE Financial Coordinator 208-773-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3669) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |