Individual
ANNIE NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6625 HOFFERBER RD, SHEPHERD, MT 59079-4320
(406) 202-2425
Mailing address
6625 HOFFERBER RD, SHEPHERD, MT 59079-4320
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11512
MT
Other
Enumeration date
09/01/2016
Last updated
02/25/2021
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