Frank Brisendine, L.D.

NPI #1134333719 in Lakeside, Montana

Provider Information

NPI Number: 1134333719
Entity Type: Individual
Name: Frank Brisendine, L.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: L.D.
Enumeration Date: May 10, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: LAKESIDE DENTURE STUDIO
Address 2: 6420 HWY 93 SOUTH
City: Lakeside
State: Montana
ZIP Code: 59922-0728
Phone: (406) 857-3711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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