| NPI | 1245185768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN TINERVIN President 406-829-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122400000X Denturist |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-03-02 |