| NPI | 1154484897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK JOSEPH SCHWENDEMAN President 406-587-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MT 1952) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2020-08-22 |