4eagle Dental Group Pllp

NPI #1154143048 in Bigfork, Montana

Provider Information

NPI Number
1154143048
Entity Type
Organization
Organization Name
4eagle Dental Group Pllp
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 30, 2024
Last Updated
Oct 30, 2024

Practice Location

Address
100 VILLAGE LN
State
Montana
ZIP Code
59911-3711
Phone
(406) 837-4806

Authorized Official

Name
DAVID KEIM, DDS
Title
MEMBER OWNER
Phone
(406) 471-5880

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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