| NPI | 1043571722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARB CLINE Office Manager 406-587-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1558) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |