DR. George Wallace Tate, DDS

NPI #1649478587 in Box Elder, Montana

Provider Information

NPI Number
1649478587
Entity Type
Individual
Name
DR. George Wallace Tate, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 3, 2007
Last Updated
Sep 19, 2007

Practice Location

Address
ROCKY BOY HEALTH BOARD
Address 2
RR 1 BOX 664
State
Montana
ZIP Code
59521-9797
Phone
(406) 395-4486

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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