NPI | 1174653372 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY M LAWHORN Owner, Dentist 406-543-3777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1744) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |