| NPI | 1194942268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE BONDURANT HARRISON President 406-279-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10409) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-04-01 |