| NPI | 1912120817 |
|---|---|
| Other Name | CHILDREN'S SPECIAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHELE S O'DONNELL Billing Agent 406-444-3529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-01-25 |