| NPI | 1851627467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODMAN O EMORY President/Pediatric Dentist 208-377-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D-1703) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |