Kootenai Family Dentistry

NPI #1225274756 in Libby, Montana

Provider Information

NPI Number
1225274756
Entity Type
Organization
Organization Name
Kootenai Family Dentistry
Primary Specialty
Dentist
Enumeration Date
Jan 6, 2009
Last Updated
Jan 6, 2009

Practice Location

Address
204 E 6TH ST
City
Libby
State
Montana
ZIP Code
59923-2052
Phone
(406) 293-4116

Authorized Official

Name
DR. RONALD E. MENDENHALL, DDS
Title
OWNER
Phone
(406) 293-4116

Specialties & Taxonomy Codes

Specialty
Dentist

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