| NPI | 1518320118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RECTOR Owner 406-208-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MT 4218) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |