| NPI | 1679911044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SCOTT MACPHERSON Owner 406-542-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: MT DTR Mt 18) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |