| NPI | 1275895039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B SELANDER President 406-452-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT C226542-1319149) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |