Organization
CANYON VIEW DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY LAURA SIMMONS (DENTIST OWNER)
(406) 375-1192
Entity
Organization
Contact information
Practice address
710 N 1ST, STE A, HAMILTON, MT 59840
(406) 375-1192
(406) 375-1193
Mailing address
710 N 1ST, STE A, HAMILTON, MT 59840
(406) 375-1192
(406) 375-1193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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