Organization
4EAGLE DENTAL GROUP PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEIM DDS (MEMBER OWNER)
(406) 471-5880
Entity
Organization
Contact information
Practice address
100 VILLAGE LN, BIGFORK, MT 59911-3711
(406) 837-4806
(406) 837-4809
Mailing address
100 VILLAGE LN, BIGFORK, MT 59911-3711
(406) 837-4806
(406) 837-4809
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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