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Organization
KALISPELL REGIONAL MEDICAL CENTER INC
Active
Organization
KALISPELL REGIONAL MEDICAL CENTER INC
Active
Other names
Glacier Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S ROBERTSON (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(406) 752-1724
Entity
Organization
Contact information
Practice address
711 E 13TH ST, SUITE 101, WHITEFISH, MT 59937-2964
(406) 862-5656
(406) 862-6155
Mailing address
711 E 13TH ST, SUITE 101, WHITEFISH, MT 59937-2964
(406) 862-5656
(406) 862-6155
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
11198
MT
Other
Enumeration date
08/16/2016
Last updated
10/04/2017
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