Organization
HYALITE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DAVID MONSON DMD (PRESIDENT)
(406) 586-4781
Entity
Organization
Contact information
Practice address
1195 STONERIDGE DR, SUITE #1, BOZEMAN, MT 59718-7048
(406) 586-4781
(406) 586-5227
Mailing address
1195 STONERIDGE DR, SUITE #1, BOZEMAN, MT 59718-7048
(406) 586-4781
(406) 586-5227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1960
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000111176
—
MT
05
—
0005511090
—
MT
Enumeration date
05/22/2007
Last updated
08/22/2020
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