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 |