Montana Childrens Dentistry Pllc

NPI #1326706201 in Lolo, Montana

Provider Information

NPI Number: 1326706201
Entity Type: Organization
Organization Name: Montana Childrens Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 7, 2021
Last Updated: Dec 7, 2021

Practice Location

Address: 116 GLACIER DR STE 107
City: Lolo
State: Montana
ZIP Code: 59847-9343
Phone: (702) 339-7274

Authorized Official

Name: STEVEN DELISLE, DDS
Title: OWNER
Phone: (702) 339-7274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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