NPI | 1407629215 |
---|---|
Doing Business As | ELITE DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | KURT ERICKSEN Owner 406-591-7279 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-11-02 |
Last Update Date | 2023-12-06 |