NPI | 1972030708 |
---|---|
Doing Business As | SANDCREEK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MATTHEW DON CALKINS Owner 406-377-8265 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MT 7773) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |