Gallatin Valley Pediatric Dentistry | |
115 W Kagy Blvd Ste C Bozeman MT 59715-6030 | |
(303) 885-6141 | |
Not Available |
Full Name | Gallatin Valley Pediatric Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 115 W Kagy Blvd Ste C, Bozeman, Montana |
Authorized Official Name and Position | Justin Matthew Stevens (PRESIDENT) |
Authorized Official Contact | 3038856141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gallatin Valley Pediatric Dentistry 4213 Grimes Ave S Edina MN 55416-5020 Ph: (303) 885-6141 | Gallatin Valley Pediatric Dentistry 115 W Kagy Blvd Ste C Bozeman MT 59715-6030 Ph: (303) 885-6141 |
NPI Number | 1861933632 |
---|---|
Provider Enumeration Date | 03/14/2017 |
Last Update Date | 03/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861933632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 13304 (Montana) | Primary |
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