| NPI | 1801384037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM R DUNLAP Dental Hygiene 406-799-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MT 1060) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT 1060) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |