NPI | 1952974594 |
---|---|
Doing Business As | SOUTHWESTERN MONTANA ORAL AND MAXILLOFAC |
Doing Business As | SOUTHWESTERN MONTANA ORAL AND MAXILLOFACIAL SURGERY LLC |
Entity Type | Organization |
Authorized Contact | PAUL G SIMS President 406-490-8204 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2021-07-21 |
Last Update Date | 2021-07-21 |