NPI | 1790939932 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH B HYLTON President 406-549-2395 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MT 2284) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2015-12-28 |