| NPI | 1922777630 |
|---|---|
| Doing Business As | INNERBLOOM DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | SARAH MARIA ENRIGHT Dentist/Owner 208-853-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-05-26 |