NPI | 1356086979 |
---|---|
Doing Business As | CARLSON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ADRIAN BRADLEY CARLSON Owner/Dentist 406-321-1068 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-04-28 |
Last Update Date | 2022-04-28 |