| Gallatin Valley Pediatric Dentistry | |
|
115 W Kagy Blvd Ste C Bozeman MT 59715-6030 | |
| (303) 885-6141 | |
| Not Available |
| Full Name | Gallatin Valley Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 115 W Kagy Blvd Ste C, Bozeman, Montana |
| Authorized Official Name and Position | Justin Matthew Stevens (PRESIDENT) |
| Authorized Official Contact | 3038856141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallatin Valley Pediatric Dentistry 4213 Grimes Ave S Edina MN 55416-5020 Ph: (303) 885-6141 | Gallatin Valley Pediatric Dentistry 115 W Kagy Blvd Ste C Bozeman MT 59715-6030 Ph: (303) 885-6141 |
| NPI Number | 1861933632 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861933632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13304 (Montana) | Primary |
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