| NPI | 1225306749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M. OLSEN President 406-721-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1424) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 2474) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2012-02-24 |