| NPI | 1881814507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SAMUEL STROEHER President 406-782-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MT 1533) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |