Queen City Dental Studio

NPI #1346691201 in Helena, Montana

Provider Information

NPI Number: 1346691201
Entity Type: Organization
Organization Name: Queen City Dental Studio
Primary Specialty: Dentist
Enumeration Date: Jun 22, 2016
Last Updated: Dec 6, 2019

Practice Location

Address: 1300 N. MONTANA AVE
City: Helena
State: Montana
ZIP Code: 59601
Phone: (406) 449-1300

Authorized Official

Name: DR. CHARISSA MICHELLE MARTIN, DDS
Title: DENTIST/OWNER
Phone: (406) 449-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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