Individual
MRS. KELLY BONIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
239 ROPERS WAY, FLORENCE, MT 59833-6755
(406) 273-9038
Mailing address
PO BOX 171, FLORENCE, MT 59833-0171
(406) 273-9038
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
919
MT
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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