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 |