| NPI | 1548629025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNA MARIE LASLOVICH Orthodontist 406-723-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MT DEN-DEN-LIC-9718) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |