| NPI | 1841684990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK HARRIS JOHNSON Dentist/Owner 406-494-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2416) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |