| NPI | 1134286883 |
|---|---|
| Doing Business As | COSMETIC SURGICAL ARTS CENTRE, INSTITUTE OF FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CLARK O TAYLOR Director Owner 406-549-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: MT 11479) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-03-30 |