| NPI | 1386882876 |
|---|---|
| Other Name | ART OF DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KENNETH CHARLES VAN KIRK Officer 406-587-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MT 2265) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |