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Organization
SILVERCREEK FAMILY DENTISTRY PLLC
Active
Organization
SILVERCREEK FAMILY DENTISTRY PLLC
Active
Other names
Silvercreek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON JOHN GUNDERSEN DMD (MANAGING MEMBER)
(406) 494-7058
Entity
Organization
Contact information
Practice address
245 E PARK ST, BUTTE, MT 59701-1829
(406) 494-7058
Mailing address
245 E PARK ST, BUTTE, MT 59701-1829
(406) 494-7058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7806
MT
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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