| NPI | 1972256733 |
|---|---|
| Doing Business As | CLEARWATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINDSEY SKAAR Insurance Coordinator 208-466-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |