| NPI | 1972863678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL ELDON WHITT Dentist/ Owner 208-888-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ID D-3868) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |