| NPI | 1922161272 |
|---|---|
| Former Legal Business Name | CYNTHIA A MCKIM DMD |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A MCKIM Practice Owner 208-939-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID 3229) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |