MR. Carl Justin Brisendine, L.D.

NPI #1487905931 in Kalispell, Montana

Provider Information

NPI Number
1487905931
Entity Type
Individual
Name
MR. Carl Justin Brisendine, L.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Denturist
Credential
L.D.
Enumeration Date
Sep 24, 2012
Last Updated
Jun 10, 2013

Practice Location

Address
6 SUNSET PLZ
Address 2
SUITE C
State
Montana
ZIP Code
59901-3608
Phone
(406) 752-3733

Specialties & Taxonomy Codes

Specialty
Denturist

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