Individual
ELIZABETH MARY ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4185
Mailing address
714 WALKER DR, MISSOULA, MT 59804-2938
(406) 327-0292
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1051
MT
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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