NPI | 1013392661 |
---|---|
Other Name | FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN E SMITH Owner/Dentist 406-443-6160 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MT 9662) |
Enumeration Date | 2015-07-24 |
Last Update Date | 2015-07-24 |