Individual
DYLAN E WEISHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
865 OILFIELD AVE, SHELBY, MT 59474-2702
(406) 434-3142
(406) 434-3143
Mailing address
PO BOX 990, SHELBY, MT 59474-0990
(406) 434-3110
(406) 434-3143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13446
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13446
MONTANA LICENSE
MT
Enumeration date
06/09/2017
Last updated
06/09/2017
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