| NPI | 1225545270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SPRING Executive Director 406-581-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MT 4172) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2025-08-29 |