| NPI | 1891830360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KEIM President 406-752-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 2195) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2025-02-12 |