| NPI | 1952560278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER ALBERT RICHINS Doctor/Owner 208-884-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D3186) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |