NPI | 1841450889 |
---|---|
Doing Business As | HIGH DESERT DENTAL |
Entity Type | Organization |
Authorized Contact | JANET D HEFNER Office Manager 208-343-4732 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3413) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2008-06-12 |