NPI | 1306340849 |
---|---|
Doing Business As | K-BEACH DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JEREMY SCOTT SORHUS Owner/Dentist 406-781-7509 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AK 1380) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-03-20 |