| NPI | 1316475106 |
|---|---|
| Former Legal Business Name | LEGACY SMILES INTERNATIONAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W STUART Owner 406-248-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1882) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2022-07-21 |