| NPI | 1194276329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KARVANDI Doctor 406-728-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |