| NPI | 1770240806 |
|---|---|
| Doing Business As | LEGACY SMILES |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WINTERHOLLER Owner 406-248-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-06-16 |