| NPI | 1255784211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CAPRON President / Dentist 406-360-8854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT DEN-DEN-LIC-11510) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-07-18 |