Dean Craig Mortenson

NPI #1083777395 in Bozeman, Montana

Provider Information

NPI Number: 1083777395
Entity Type: Individual
Name: Dean Craig Mortenson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2018 STADIUM DRIVE
Address 2: SIUTE A
City: Bozeman
State: Montana
ZIP Code: 59715-4661
Phone: (406) 586-9621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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