| NPI | 1992948590 |
|---|---|
| Doing Business As | ADVANTAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES R WEAVER President 208-284-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 2129) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2012-07-03 |