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Organization
WESTERN MONTANA FAMILY DENTISTRY
Active
Organization
WESTERN MONTANA FAMILY DENTISTRY
Active
Other names
Bagnell Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY HOWARD BAGNELL DDS (OWNER/DENTIST)
(406) 676-8880
Entity
Organization
Contact information
Practice address
63355 US HIGHWAY 93, RONAN, MT 59864-2702
(406) 676-8880
(406) 676-8881
Mailing address
63355 US HIGHWAY 93, RONAN, MT 59864-2702
(406) 676-8880
(406) 676-8881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1951
MT
Other
Enumeration date
09/01/2011
Last updated
10/03/2016
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