| NPI | 1396415097 |
|---|---|
| Doing Business As | MOOS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SANDY MOOS Office Manager 406-586-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |