Organization
MENG DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT W MENG (DENTIST/PRACTICE OWNER)
(406) 543-5647
Entity
Organization
Contact information
Practice address
2831 FORT MISSOULA RD, SUITE 204, MISSOULA, MT 59804-7419
(406) 543-5647
(406) 728-2031
Mailing address
2831 FORT MISSOULA RD, SUITE 204, MISSOULA, MT 59804-7419
(406) 543-5647
(406) 728-2031
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1525
MT
261QD0000X
Dental Clinic/Center
2346
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138892
—
MT
Enumeration date
12/29/2011
Last updated
12/29/2011
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