NPI | 1891918603 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL T MCHUGH President 208-238-0125 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D1755) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-09-07 |