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Organization
MADISON DENTAL PC
Active
Organization
MADISON DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SAMSON DDS (OWNER/DENTIST)
(406) 404-1186
Entity
Organization
Contact information
Practice address
1 STEAMBATH STE A, ENNIS, MT 59729-8505
(406) 404-1186
(406) 404-1187
Mailing address
3997 VALLEY COMMONS DR STE A, BOZEMAN, MT 59718-5617
(406) 404-1186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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