| NPI | 1629286042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS PATRICK SKILLESTAD President 406-543-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1968) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |