| NPI | 1457478752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A EUGENE BAILEY Dentist President 406-761-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1235) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |