# TWIN CRANES DENTAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073646543
- **Authorized official:** MRS. KIM GENDROW (OFFICE MANAGER)
- **Authorized official phone:** (406) 728-9442

## Contact information

- **Practice address:** 1227 S HIGGINS AVE, MISSOULA, MT 59801-4140
- **Practice address phone:** (406) 728-9442
- **Mailing address:** 1227 S HIGGINS AVE, MISSOULA, MT 59801-4140
- **Mailing address phone:** (406) 728-9442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2024 | MT | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020