| NPI | 1043854029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA RECK Co Founder 406-539-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |