Individual
CODY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1301 12TH AVE S STE 204, GREAT FALLS, MT 59405-4600
(406) 761-8550
Mailing address
11 WILLOW CREEK RD, BELT, MT 59412-8112
(406) 899-8551
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN-DEN-LIC-18508
MT
Other
Enumeration date
07/05/2018
Last updated
10/09/2023
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