| NPI | 1821328394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON FLEISCHMANN Owner 406-443-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MT 2362) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |