Individual
HENRY BANNER STOKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24 WOODARD AVE, ABSAROKEE, MT 59001
(406) 328-4507
(406) 328-4507
Mailing address
24 WOODARD AVE, ABSAROKEE, MT 59001
(406) 328-4507
(406) 328-4507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1561
MT
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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