Organization
MONTANA ROOTS DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI M TRUESDELL (OFFICE MANAGER)
(406) 442-0282
Entity
Organization
Contact information
Practice address
2744 COLONIAL DR, HELENA, MT 59601-4947
(406) 442-0282
Mailing address
2744 COLONIAL DR, HELENA, MT 59601-4947
(406) 442-0282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2455
MT
261QD0000X
Dental Clinic/Center
2455
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2455
LICENSE
MT
Enumeration date
11/07/2017
Last updated
11/15/2018
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