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Individual

WILLIAM ROBERT SAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3997 VALLEY COMMONS DRIVE SUITE A, BOZEMAN, MT 59718-4108
(406) 404-1186
(406) 404-1187
Mailing address
3997 VALLEY COMMONS DRIVE SUITE A, BOZEMAN, MT 59718
(406) 404-1186
(406) 404-1187

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
R418
MN
1223G0001X
General Practice Dentistry
Primary
2349
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7133568
MT
Enumeration date
06/19/2008
Last updated
11/29/2021
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