| NPI | 1932372026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KIZER Pediatric Dentist 208-467-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ID D3446PD) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |