Missoula General Dentistry, P.c. | |
3020 S Reserve St Ste B Missoula MT 59801-7652 | |
(406) 541-3585 | |
Not Available |
Full Name | Missoula General Dentistry, P.c. |
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Speciality | Clinic/center - Dental |
Location | 3020 S Reserve St Ste B, Missoula, Montana |
Authorized Official Name and Position | Terri Lynn Kinnee (GENERAL DENTIST) |
Authorized Official Contact | 4065413585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Missoula General Dentistry, P.c. 3020 S Reserve St Ste B Missoula MT 59801-7652 Ph: (406) 541-3585 | Missoula General Dentistry, P.c. 3020 S Reserve St Ste B Missoula MT 59801-7652 Ph: (406) 541-3585 |
NPI Number | 1215298195 |
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Provider Enumeration Date | 06/06/2012 |
Last Update Date | 06/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215298195 | NPI | - | NPPES |
MT2438 | Other | MT | STATE OF MONTANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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