| NPI | 1104221118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ORME Dentist/Owner 406-683-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MT 2247) |
| Additional Taxonomies | 122300000X Dentist (Licence: MT 7811) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |