| NPI | 1831034701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA N SWANSON Practice Manager 406-542-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |