| NPI | 1205388170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY JEANETTE PIPER Dental Hygienist 406-925-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MT 1140) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |