| NPI | 1912595364 |
|---|---|
| Doing Business As | 406DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATERINA ROBINSON Manager 406-890-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |