| NPI | 1427590561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAWN SANDERS Owner 406-626-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist (Licence: MT 5911) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2023-01-27 |