| NPI | 1073656567 |
|---|---|
| Former Legal Business Name | SUMMIT ORAL SURGERY AND IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | RODERICK M GRIFFETH Owner 406-259-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-10-17 |