| NPI | 1801051180 |
|---|---|
| Doing Business As | VICTOR DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEREMY MICHAEL ANDERSON President 406-642-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2307) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |