| NPI | 1073039558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DANIEL FLECHAS Owner 406-980-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MT 4064) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-04-16 |