NPI | 1972764058 |
---|---|
Doing Business As | MODERN SMILES NAMPA |
Entity Type | Organization |
Authorized Contact | CHRIS A SATCHWELL Owner 208-573-2587 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-4145) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2025-01-15 |