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675 Treeline Rd Kalispell MT 59901-1242 | |
| (208) 670-1283 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 675 Treeline Rd, Kalispell, Montana |
| Authorized Official Name and Position | Timothy C Johnson (DENTIST) |
| Authorized Official Contact | 4065654239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
675 Treeline Rd Kalispell MT 59901-1242 Ph: (406) 565-4239 | 675 Treeline Rd Kalispell MT 59901-1242 Ph: (208) 670-1283 |
| NPI Number | 1588256903 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588256903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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