| NPI | 1386001444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCO RENE FERRARA Owner/Dentist 406-482-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 9655) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 1380) |
| 1223G0001X Dentist, General Practice (Licence: MT 2425) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |