| NPI | 1053462341 |
|---|---|
| Doing Business As | FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PENNY WEYMOUTH Office Manager 406-727-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2091) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 1786) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-04-14 |