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Organization
GREAT FALLS DENTAL ASSOCIATES LLC
Active
Organization
GREAT FALLS DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B SELANDER (PRESIDENT)
(406) 452-8740
Entity
Organization
Contact information
Practice address
1601 2ND AVE N STE 100, GREAT FALLS, MT 59401-3285
(406) 452-8740
Mailing address
1601 2ND AVE N STE 100, GREAT FALLS, MT 59401-3285
(406) 452-8740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
C226542-1319149
MT
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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