Individual
JONATHAN LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 HOSPITAL WAY, WHITEFISH, MT 59937-7838
(406) 862-3839
Mailing address
2904 BITTERROOT DR, BILLINGS, MT 59105-5511
(801) 879-3178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-17377
MT
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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