| NPI | 1548410327 |
|---|---|
| Other Name | BREWER DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ELGIN WADE WILDE Owner 406-656-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1664) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2017-12-29 |