| NPI | 1245903699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HILL Office Manager 406-577-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |