| NPI | 1639522592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M POLLINGTON Registered Dental Hygienist 406-799-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MT 1320) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |