| NPI | 1770831539 |
|---|---|
| Doing Business As | SANDCREEK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD RYAN COBURN Owner 406-377-8265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MT 2288) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2015-11-23 |