Organization
MONTANA KIDS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA JENKINS (OWNER)
(208) 360-3445
Entity
Organization
Contact information
Practice address
1050 ROAD RUNNER ST, HELENA, MT 59602-0543
(406) 442-1377
Mailing address
1411 FALLS AVE E STE 1000C, TWIN FALLS, ID 83301-3459
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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