| NPI | 1346518834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARSHALL President 406-761-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MT 2384) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |