| NPI | 1194094672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT W MENG Dentist/Practice Owner 406-543-5647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MT 1525) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MT 2346) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |