| NPI | 1134850969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAIGHTON D JONES Owner 406-248-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-04-04 |