| NPI | 1235088584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN MCDONALD President 406-256-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-02-05 |