Kristen Heather Tinervin

NPI #1417133026 in Missoula, Montana

Provider Information

NPI Number: 1417133026
Entity Type: Individual
Name: Kristen Heather Tinervin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Denturist
Enumeration Date: Jan 14, 2008
Last Updated: Jan 14, 2008

Practice Location

Address: 2100 STEPHENS AVE
Address 2: SUITE 104
City: Missoula
State: Montana
ZIP Code: 59801-6659
Phone: (406) 829-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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