| NPI | 1629133186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ROSE HILLBERRY Vice President Lolo Dental Clinic Pc 406-273-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |