| Montana Dental Group Llc | |
|
203 Main St Polson MT 59860-2119 | |
| (406) 883-0325 | |
| Not Available |
| Full Name | Montana Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 Main St, Polson, Montana |
| Authorized Official Name and Position | Brady Sefcik (OFFICIAL) |
| Authorized Official Contact | 8014004560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montana Dental Group Llc 203 Main Street Polson MT 59860 Ph: (406) 883-0325 | Montana Dental Group Llc 203 Main St Polson MT 59860-2119 Ph: (406) 883-0325 |
| NPI Number | 1144767203 |
|---|---|
| Provider Enumeration Date | 01/27/2017 |
| Last Update Date | 01/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144767203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 00202298 (Colorado) | Primary |
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