| NPI | 1518143098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KENT NIELSEN Owner 406-442-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1969) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |