| NPI | 1336512193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN KINNEE DDS General Dentist 406-541-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT MT2438) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |