| NPI | 1205697877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE HULL Owner 406-586-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-04-03 |