| NPI | 1851561633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D. HAMMOND President 208-847-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-3329) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |