MR. Kenneth Scott Macpherson, LD LICENSED DENTURIS

NPI #1215088166 in Missoula, Montana

Provider Information

NPI Number: 1215088166
Entity Type: Individual
Name: MR. Kenneth Scott Macpherson, LD LICENSED DENTURIS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Denturist
Credential: LD LICENSED DENTURIS
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 715 KENSINGTON AVE
Address 2: #25B
City: Missoula
State: Montana
ZIP Code: 59801
Phone: (406) 542-0609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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