| NPI | 1881918027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE PILLING Dentist/Owner 208-442-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3877) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |