| NPI | 1376929083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDREA LYNN STEBBINS Owner 406-862-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2329) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |