Dental Care Of Montana, Llc | |
2000 Maple St Ste 100 Missoula MT 59808-2089 | |
(406) 919-6141 | |
Not Available |
Full Name | Dental Care Of Montana, Llc |
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Speciality | Clinic/center - Dental |
Location | 2000 Maple St Ste 100, Missoula, Montana |
Authorized Official Name and Position | Ronny Enmanuel Rodriguez Castillo (MANAGER) |
Authorized Official Contact | 4065394297 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Care Of Montana, Llc 2000 Maple St Ste 100 Missoula MT 59808-2089 Ph: (406) 919-6141 | Dental Care Of Montana, Llc 2000 Maple St Ste 100 Missoula MT 59808-2089 Ph: (406) 919-6141 |
NPI Number | 1124754544 |
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Provider Enumeration Date | 07/27/2022 |
Last Update Date | 07/27/2022 |
Identifier | Type | State | Issuer |
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1124754544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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