| NPI | 1336226885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE P BECK President 406-443-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1597) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |