MISS Summor Kilgore, RDH, OMT

NPI #1912557653 in Columbia Falls, Montana

Provider Information

NPI Number: 1912557653
Entity Type: Individual
Name: MISS Summor Kilgore, RDH, OMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Therapist
Credential: RDH, OMT
Enumeration Date: Sep 15, 2019
Last Updated: Sep 15, 2019

Practice Location

Address: 1099 COWBOY WAY
City: Columbia Falls
State: Montana
ZIP Code: 59912-9068
Phone: (406) 291-0634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Therapist	125J00000X	Primary

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