Organization
MT SDS III, PLLC
Active
Organization
MT SDS III, PLLC
Active
Parent organization
MT SDS III, PLLC
Other names
H2 Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT SDS III, PLLC
Authorized official
CHARLOTTE V DASCH (DIREC OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
1256 N MERIDIAN RD STE A, KALISPELL, MT 59901-3006
(406) 752-5575
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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