| NPI | 1972023398 |
|---|---|
| Doing Business As | PARKWAY DENTAL AT NORTHVIEW |
| Entity Type | Organization |
| Authorized Contact | KARLA LOUISE PICCIOTTI Office Manager 208-342-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |