| NPI | 1922267491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN RADAR DRYDEN Dr. Bryan Dryden 208-664-9506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ID D3332) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |