| NPI | 1902355357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY ANN MCKINLEY Office Manager 406-656-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MT 1715) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |