Individual
DANIEL JEFFERY VESBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
340 E. PIKE AVE, COLUMBUS, MT 59019
(406) 322-4600
(406) 322-4607
Mailing address
144 MELODY LN, COLUMBUS, MT 59019-7188
(406) 322-4600
(406) 322-4607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2139
MT
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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