| NPI | 1104176445 |
|---|---|
| Doing Business As | KALISPELL KIDDS |
| Entity Type | Organization |
| Authorized Contact | REED EDWARD THOMPSON Owner 406-756-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MT 2005) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MT 2220) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |