NPI | 1124754544 |
---|---|
Doing Business As | DENTAL CARE OF MONTANA, LLC |
Entity Type | Organization |
Authorized Contact | RONNY ENMANUEL RODRIGUEZ CASTILLO Manager 406-539-4297 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-07-27 |