Full Care Dental Pllc

NPI 1174653372 - Dentist - 1223G0001X

NPI Details
NPI 1174653372
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIMOTHY M TIMOTHY
Position OWNER, DENTIST
Phone (406) 543-3777
Fax (406) 543-6205
Practice Location
690 SW HIGGINS AVE STE E
MISSOULA MT, 59803-1433, US
Phone (406) 543-3777
Fax (406) 543-6205
Business Location
690 SW HIGGINS AVE STE E
MISSOULA MT, 59803-1433, US
Phone (406) 543-3777
Fax (406) 543-6205
Toxanomy
Taxonomy Code 1223G0001X
License State Montana
License Number 1744
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According to our database, Full Care Dental Pllc NPI is 1174653372, taxonomy code is 1223G0001X and license number is 1744, license state is located at Montana. Full Care Dental Pllc physically located at 690 Sw Higgins Ave Ste E, Missoula MT, 59803-1433. NPI Number 1033115704 has the healthcare provider type.

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1174653372 NPI number is provided on an as is basis without warranty of any kind. 1174653372 is maintained by the National Plan & Provider Enumeration System. The contents of Full Care Dental Pllc are for informational purposes only.