NPI | 1164858361 |
---|---|
Doing Business As | MINT DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | JASON ALEXANDER TANGUAY Owner 406-586-5880 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2013-09-19 |
Last Update Date | 2013-09-19 |