Mountain Shore Pllc
NPI #1558909093 in Polson, Montana
Provider Information
- NPI Number
- 1558909093
- Entity Type
- Organization
- Organization Name
- Mountain Shore Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 16, 2019
- Last Updated
- Dec 16, 2019
Practice Location
Authorized Official
- Name
- JOSHUA RICKS, DDS
- Title
- DENTIST/OWNER
- Phone
- (406) 883-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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