Smile Missoula PC

NPI #1225306749 in Missoula, Montana

Provider Information

NPI Number: 1225306749
Entity Type: Organization
Organization Name: Smile Missoula PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 12, 2011
Last Updated: Feb 24, 2012

Practice Location

Address: 237 SW HIGGINS AVE
Address 2: STE C
City: Missoula
State: Montana
ZIP Code: 59803-1485
Phone: (406) 721-2830

Authorized Official

Name: DR. GEORGE M. OLSEN, DDS
Title: PRESIDENT
Phone: (406) 721-2830

Specialties & Taxonomy Codes

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

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