| NPI | 1962739649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CHARLES HYAMS Owner 406-245-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 1743) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |