| NPI | 1104324060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY B KEHMEIER Dentist 406-363-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT MT1639) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |