NPI | 1043598964 |
---|---|
Doing Business As | BIGFORK DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | ERIN CARLSON PRICE President/Dentist 406-431-2722 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MT 2370) |
Enumeration Date | 2011-07-26 |
Last Update Date | 2014-02-12 |