| NPI | 1841204609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER ONEAL THUERNAGLE Dentist 208-523-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D-3902) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |