Organization
EUGENE A. TYNES D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE A TYNES DDS (DENTIST)
(406) 761-3800
Entity
Organization
Contact information
Practice address
300 PARK DR S STE 202, GREAT FALLS, MT 59405-1819
(406) 761-3800
Mailing address
300 PARK DR S STE 202, GREAT FALLS, MT 59405-1819
(406) 761-3800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810493586
DENTIST
MT
Enumeration date
12/31/2008
Last updated
12/31/2008
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