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Organization
NYBO AND VAN KIRK DENTAL, LLC
Active
Organization
NYBO AND VAN KIRK DENTAL, LLC
Active
Other names
Art of Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CHARLES VAN KIRK D.D.S. (OFFICER)
(406) 587-1688
Entity
Organization
Contact information
Practice address
1125 W KAGY BLVD, SUITE 200, BOZEMAN, MT 59715-5881
(406) 587-1688
(406) 582-5473
Mailing address
1125 W KAGY BLVD, SUITE 200, BOZEMAN, MT 59715-5881
(406) 587-1688
(406) 582-5473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2265
MT
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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