Individual
DR. CONNIE L SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
673 1ST AVE WN, KALISPELL, MT 59901
(406) 755-4127
Mailing address
209 SMALLS LN, KALISPELL, MT 59901-7691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1758
MT
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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