NPI | 1386168078 |
---|---|
Doing Business As | RONAN DENTAL |
Doing Business As | MISSION VALLEY DENTAL |
Entity Type | Organization |
Authorized Contact | AMBER DAILEY Owner 406-570-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2400) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 2487) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2022-07-21 |