Big Sky Dental Clinic

NPI #1144623992 in Polson, Montana

Provider Information

NPI Number: 1144623992
Entity Type: Organization
Organization Name: Big Sky Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 7, 2014
Last Updated: Oct 7, 2014

Practice Location

Address: 102 1ST AVE E
City: Polson
State: Montana
ZIP Code: 59860-2335
Phone: (406) 883-5544

Authorized Official

Name: DR. WILLIAM CHRISTOPHER CLAVE, D.D.S.
Title: OWNER
Phone: (406) 883-5544

Specialties & Taxonomy Codes

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

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