Individual
DEAN CRAIG MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2018 STADIUM DRIVE, SIUTE A, BOZEMAN, MT 59715-4661
(406) 586-9621
(406) 586-7219
Mailing address
2018 STADIUM DR., SIUTE A, BOZEMAN, MT 59715-4661
(406) 586-9621
(406) 586-7219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1828
MT
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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