NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1114501897 |   |   |   | MONTANA KIDS DENTAL LLC | 1411 FALLS AVE E STE 1000C | TWIN FALLS | ID | 833013459 |
1003153560 | CLAEYS | AMY | LACY |   | 1050 ROAD RUNNER ST | HELENA | MT | 596020543 |
1366587073 | COPLIN | MATTHEW | DONAL |   | 1314 HELENA AVE | HELENA | MT | 596012950 |