Great Falls Pediatric Dentistry, LLC
NPI #1922479047 in Great Falls, Montana
Provider Information
- NPI Number
- 1922479047
- Entity Type
- Organization
- Organization Name
- Great Falls Pediatric Dentistry, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 15, 2015
- Last Updated
- Oct 15, 2015
Practice Location
- Address
- 1717 4TH ST S
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59405-4133
- Phone
- (406) 449-0189
Authorized Official
- Name
- KEVIN L RENCHER, D.D.S.
- Title
- DENTIST
- Phone
- (406) 449-0189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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