| NPI | 1235242439 |
|---|---|
| Doing Business As | JAMIE M. BACON CROSSMAN, DDS, PC |
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD CROSSMAN Corp. Secretary 406-363-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1841) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-06-19 |