| NPI | 1871926428 |
|---|---|
| Doing Business As | CHILDREN 1ST DENTAL & SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DEVIN LARSEN CEO 208-340-1840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-11-04 |