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2376 Main St Ste 812 Billings MT 59105-4018 | |
| (406) 656-5200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2376 Main St Ste 812, Billings, Montana |
| Authorized Official Name and Position | Kurt Ericksen (OWNER) |
| Authorized Official Contact | 4065917279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2376 Main St Ste 812 Billings MT 59105-4018 Ph: (406) 656-5200 | 2376 Main St Ste 812 Billings MT 59105-4018 Ph: (406) 656-5200 |
| NPI Number | 1407629215 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407629215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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