| NPI | 1992117287 |
|---|---|
| Other Name | CRAIG C SJOBERG SOLE MEMBER |
| Entity Type | Organization |
| Authorized Contact | ANISSA FERGUSON Business Manager 208-695-5913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D4200) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |