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Organization
ELITE DENTAL, LLC
Active
Organization
ELITE DENTAL, LLC
Active
Other names
Elite Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK DAIGREPONT DDS (DENTIST)
(318) 359-0009
Entity
Organization
Contact information
Practice address
2376 MAIN ST STE 812, BILLINGS, MT 59105-4018
(406) 656-5200
Mailing address
705 MAIN ST, ROUNDUP, MT 59072-2423
(318) 359-0009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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