| NPI | 1558713602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAY MCALLISTER Owner 406-752-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 4165) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 1296) |
| 1223G0001X Dentist, General Practice (Licence: MT 11435) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |