Elevation Dental Deer Lodge Pllc
NPI #1063074524 in Deer Lodge, Montana
Provider Information
- NPI Number
- 1063074524
- Entity Type
- Organization
- Organization Name
- Elevation Dental Deer Lodge Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 5, 2019
- Last Updated
- Jul 5, 2019
Practice Location
- Address
- 1101 MARYLAND AVE
- City
- Deer Lodge
- State
- Montana
- ZIP Code
- 59722-1807
- Phone
- (406) 846-3532
Authorized Official
- Name
- DR. PAUL K NIELSEN, DDS
- Title
- PRESIDENT
- Phone
- (406) 846-3532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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