| NPI | 1548779515 |
|---|---|
| Doing Business As | OLYMPIA SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | JOSHUA A MANCHESTER Dentist 406-599-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WA DE60579609) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |