NPI | 1538563564 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY HOWARD BAGNELL Owner/Dentist 406-626-5520 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1951) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2014-10-20 |