NPI | 1285008847 |
---|---|
Doing Business As | SILVERCREEK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | TYSON JOHN GUNDERSEN Managing Member 406-494-7058 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 7806) |
Enumeration Date | 2015-11-19 |
Last Update Date | 2015-11-19 |