Elkhorn Family Dental, Llc | |
211 North Main Street Boulder MT 59632-0512 | |
(406) 225-4222 | |
(406) 225-4222 |
Full Name | Elkhorn Family Dental, Llc |
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Speciality | Clinic/center - Dental |
Location | 211 North Main Street, Boulder, Montana |
Authorized Official Name and Position | Charissa Foster Martin (OWNER) |
Authorized Official Contact | 4062254222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elkhorn Family Dental, Llc Po Box 512 211 North Main Street Boulder MT 59632-0512 Ph: (406) 225-4222 | Elkhorn Family Dental, Llc 211 North Main Street Boulder MT 59632-0512 Ph: (406) 225-4222 |
NPI Number | 1740546100 |
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Provider Enumeration Date | 04/10/2012 |
Last Update Date | 04/10/2012 |
Identifier | Type | State | Issuer |
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1740546100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2386 (Montana) | Primary |
Boulder Valley Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N Main St, Boulder, MT 59632 Phone: 406-225-4222 |