Individual
FRANK BRISENDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
LAKESIDE DENTURE STUDIO, 6420 HWY 93 SOUTH, LAKESIDE, MT 59922-0728
(406) 857-3711
(406) 857-3712
Mailing address
PO BOX 728, LAKESIDE, MT 59922-0728
(406) 857-3711
(406) 857-3712
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
4
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150144
—
MT
Enumeration date
05/10/2007
Last updated
07/09/2007
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