NPI | 1588256903 |
---|---|
Doing Business As | QUARTZ CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | TIMOTHY C JOHNSON Dentist 406-565-4239 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2021-02-08 |
Last Update Date | 2025-01-31 |