| NPI | 1649322777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY MICHAEL HAMLING Owner 406-582-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 122300000X Dentist (Licence: MT 2014) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2025-04-14 |