| Lolo Dental Clinic Pc | |
|
108 Tyler Way Lolo MT 59847 | |
| (406) 273-0490 | |
| (406) 273-7969 |
| Full Name | Lolo Dental Clinic Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 Tyler Way, Lolo, Montana |
| Authorized Official Name and Position | Marie Rose Hillberry (VICE PRESIDENT LOLODENTAL CLINIC PC) |
| Authorized Official Contact | 4062730490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lolo Dental Clinic Pc Po Box 725 Lolo MT 59847 Ph: (406) 273-0490 | Lolo Dental Clinic Pc 108 Tyler Way Lolo MT 59847 Ph: (406) 273-0490 |
| NPI Number | 1629133186 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629133186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Montana) | Primary |
Montana Childrens Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Glacier Dr Ste 107, Lolo, MT 59847 Phone: 702-339-7274 |