Individual
MR. KENNETH SCOTT MACPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD LICENSED DENTURIS
Contact information
Practice address
715 KENSINGTON AVE, #25B, MISSOULA, MT 59801
(406) 542-0609
(406) 721-7617
Mailing address
715 KENSINGTON AVE, #25B, MISSOULA, MT 59801
(406) 542-0609
(406) 721-7617
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
MT18
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150241
—
MT
Enumeration date
01/16/2007
Last updated
07/08/2007
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