| NPI | 1457716227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BEMER Service Unit Director/CEO 406-768-2101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DH00006133) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |