| NPI | 1245687250 |
|---|---|
| Doing Business As | BOZEMAN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GABRIEL MCCORMICK Owner/Member 406-586-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MT 2343) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |