| NPI | 1275894701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E. LAWSON Dds 406-587-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2023) |
| Additional Taxonomies | 122300000X Dentist (Licence: MT 2466) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |