# MONTANA DENTAL SPA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREGORY SEAMAN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952947319
- **Legal business name:** GREGORY SEAMAN
- **Authorized official:** GREGORY M SEAMAN (DOCTOR)
- **Authorized official phone:** (406) 314-4044

## Contact information

- **Practice address:** 160 HERITAGE WAY STE 101, KALISPELL, MT 59901-3127
- **Practice address phone:** (406) 314-4044
- **Mailing address:** 160 HERITAGE WAY STE 101, KALISPELL, MT 59901-3127
- **Mailing address phone:** (406) 314-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 11/20/2019